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Medical Collector
2 weeks ago
Position:
Medical Collector
Department:
AIS Operations
Objective
The Medical Collector is responsible for all collection procedures.
Reporting Relationship
Director of Reimbursement
Scope of Supervision
N/A
Responsibilities
- Responsible for collecting the correct payment amount on outstanding accounts.
- Communicate with carriers, payers, clients and facilities to get the maximum payment on accounts.
- Research, identify and resolve incorrectly processed claims.
- Achieve a complete resolution on denials, underpaid or refund requested accounts.
- Correctly respond to all health care correspondence within 72 hours.
- Correctly and timely appeal under and unpaid claims.
- Submit appeals, claim corrections and reconsiderations.
- Correctly bill out all infusion claims within 48 hours of date of submission.
- Responsible for correcting claims within 48 hours of notice.
- Assist with patient benefits and prior authorizations as needed.
- Report any misconduct, suspicious or unethical activities to the Compliance Officer.
- Participate in surveys conducted by authorized inspection agencies.
- Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
- Participate in pharmacy committees when requested.
- Participate in inservice education programs provided by the pharmacy.
- Perform other duties as assigned by supervisor.
Minimum Qualifications
- High School Diploma.
- Associate's degree in related field or equivalent combination of education and experience.
- Three years of inn/out of network pharmaceutical medical billing and appeal experience.
- Insurance billing reimbursement and medical business office experience.
- Ability to evaluate options and to make efficient decisions.
- Organizational skills sufficient to maintain consistently accurate records.
Physical Requirements
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions in this job description
:The employee is regularly required to stand, walk, and sit, as well as talk and hear.
- The employee is required to use hands to operate office equipment.
- The employee must occasionally lift and/or move up to 20 pounds.
- Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus.
Pay:
$ $25.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k)
- Dental insurance
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- insurance billing reimbursement: 3 years (required)
- inn/out of network pharmaceutical: 3 years (required)
Ability to Relocate:
- Houston, TX 77074: Relocate before starting work (required)
Work Location:
Hybrid remote in Houston, TX 77074
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