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Medical Collection Specialist

Are you an experienced Collections Representative with Hospital experience looking for a new opportunity with a prestigious healthcare company as an Accounts Receivable Collections Representative? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Position
Summary:
You, as the Accounts Receivable Collections Representative will be calling on final billed claims by contacting government agencies, third party payors, and patients/guarantors via phone, e-mail, or online and will continue collection activity until the accounts are resolved.
Salary: $15 - $17 Depending on experience (DOE)
Hours for this Position:
Monday - Friday 8:00AM - 4:30PM or 8:30AM - 5:00PM
Advantages of this Opportunity:
Competitive salary
Fun and positive work environment
What We Look For:
HS Diploma or GED
1+ years' AR/Collections experience - Hospital specific - Commercial, Medicare, or Medicaid
Must have follow-up experience
Excel knowledge

More Insight of Daily Responsibilities:
Requests additional information from Patients, Medical Records, and others upon request from payors.
Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed.
Updates Plan IDs and Patient/Payor demographic information; posts notes and memos to accounts; identify payor issues and trends; and solve recoup issues. Returns accounts to Appeal Writers for next level appeals as needed.
Identifies payor trends in payment delays and escalates issues to Supervisor.
Recognizes potential delays with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/problem aged accounts timely to Supervisor.
Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and must be able to communicate results.
Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors.
Conducts collection activity on previously appealed claims by contacting government agencies, third party payers via phone, email, or online. Provides ongoing appropriate collection activity on appeals until the payer has responded to the appeal.


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