Medical Collections Specialist

Ref ID: 04170-0011731006

Classification: Medical Collections Specialist

Compensation: $16.00 to $18.75 hourly

Our client, a hospital system in the Texas Medical Center, is seeking experienced Medical Collections Specialists on a contract to full time basis. Must have at least 2 years of medical collections / revenue cycle experience. Please apply now for immediate consideration.

Details:

• Initiates calls or online web contact to payors or guarantors to verify receipt of claims/statements and collect on outstanding accounts receivables
• Documents follow-up activities, conversations with payors/guarantors, information obtained via the web contact, and any correspondence in the account notes.
• Ensures payments received by third party payors are correct and the correct contractual discounts/allowances have been applied according to the contract matrix or government reimbursement rates.
• Ensures that all accounts associated with that guarantor and payor relationship are resolved.
• Analyzes and assesses accounts for outstanding balances and makes prudent decisions on appropriate actions needed to resolve the balance.

Skills:

• General knowledge of government, commercial and managed care reimbursement methodologies and understanding of all federal, state, and local legal aspects of collection regulations.
• The knowledge of how managed care plans work and the requirements for insurance coverage and benefits.

Job Requirements:

– HealthCare Revenue Cycle experience

– Aging Accounts experience

– HealthCare Claim experience

– Medical collections experience desired

– Microsoft Office experience preferred

– High School diploma or equivalent required

– Minimum of 2 year of prior healthcare collections experience

– Previous experience with an electronic medical record system preferred

– Sound written and verbal communication skills

– Proven knowledge of explanation of benefits (EOBs)

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Questions? Call your local office at 1.888.490.3195. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.

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