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Addison Group

Claims Resolution Specialist / Medical Collector

Houston, TX

Claims Resolution Specialist. Ft. Myers, FL

Claims Resolution Specialist

Job Responsibilities

  • Perform full cycle medical insurance collections for multispecialty physician and hospital services
  • Collect on government Medicare, Medicaid, Worker's Compensation, and commercial insurance and patient outstanding balances
  • Medical Collectors follow up on insurance claim status, resolve denials & rejections, submit re-bills, re-submit claims, and file appeals
  • Drafting up appeals and denials letters to be sent out to all government and commercial insurance companies
  • Medical Collectors establish payment plans, accept payment, and work aging reports
  • Medical Collectors post insurance and patient payments (cash, check, credit card, Explanation of Benefits, EOB, EFT, lock box)
  • Medical Collectors manage accounts receivable and accounts payable
  • Medical Collectors obtain insurance verification, precertification, and authorization via phone and insurance payer portals
  • Medical Collectors update patient accounts with registration, insurance, demographic, scheduling, and billing data
  • Medical Collectors provide superior high volume patient customer service in a fast paced environment
  • Medical Collectors use Microsoft Office Word/Excel/Outlook, medical software, payer portals, and type 40+WPM

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Requirements
  • 1+ year performing full cycle medical insurance collections for multispecialty physician and hospital services
  • Ability to touch/collect on 75 accounts per day
  • Medical Collectors must have prior experience collecting on government, Medicare, Medicaid, Worker's Compensation, and commercial insurance and patient balances
  • Medical Collectors must have prior experience following up on claim status, resolving denials & rejections, re-billings, re-submitting claims, & filing appeals
  • Medical Collectors must have prior experience managing accounts receivable and accounts payable
  • Medical Collectors must have prior experience posting insurance and patient payments, cash applications, cash posting (nation of Benefits, EOB, EFT, lock box)
  • Medical Collectors must have prior experience obtaining insurance verification, precertification, and authorization via phone and online insurance payer portals
  • Medical Collectors must have prior experience updating patient accounts with registration, insurance, demographic, scheduling, and billing data
  • Medical Collectors must have prior high volume in person and phone patient customer service experience
  • Medical Collectors must demonstrate proficiency with Microsoft Office Word/Excel/Outlook, payer portals, & electronic medical records (EMR) software
  • Medical Collectors must demonstrate ability to type 40+WPM required (alphanumeric & 10-key typing)


Why choose Addison Healthcare?

  • Pay : We negotiate high salaries for you using the US Bureau of Labor Statistics
  • Benefits : You are eligible for medical, dental, vision insurance benefits AND 401K match
  • Bonuses : You are eligible for monetary bonuses
  • Permanent Employment : The majority of Addison Healthcare job openings lead to potential permanent employment
  • Connections : You are connected directly with hiring managers from hospitals, physician groups, and healthcare consulting companies
  • Options : You are presented multiple employment location options near your home
  • Professional Development : You are provided hiring process advice, resume revision, and employment term negotiation
  • Confidential : Your career search is confidential and your resume is not online
  • Feedback : You receive immediate feedback on your candidacy for jobs
  • Urgency : Your level of urgency to find your next career matches our level of urgency

Keywords: Healthcare, Medical, Hospital, Physician, Clinic, Patient, Registration, Insurance Verification, Payment, Customer Service, Demographics, Referrals, Pre-Registration, Full Cycle, Billing, Healthcare Revenue Cycle, Claims, Follow up, Denials, Rejections, Appeals, Payment Posting, Cash Applications, Cash Posting, Lockbox, EFT, Accounts Payable, Accounts Receivable, Insurance Collections, Self Pay, Insurance, Medicare, Medicaid, commercial, HIPAA, Electronic Medical Record, EMR, EPIC, Cerner, Medisoft, Meditech, IDX, Point Click Care, Allegra, McKesson, AS400, Nextgen, Allscripts, eClinical Works, Mysis, Tiger, Centricity, Citrix, Athena, eCare, NEBO, Sorian

Do you want to impact patient lives by joining a successful healthcare company? If so, please contact us today to discuss this opportunity!

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Job ID: AddisonGroup-487851
Employment Type: Other