Medical Collector

2 weeks ago


Houston, Texas, United States BioCure, LLC Full time
Job Description

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)
matching

  • 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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