Medical Billing and Collections Specialist

3 weeks ago


Houston, United States Prestige Medical Billing LLC Full time
Job DescriptionJob Description
  • Work online and by phone with insurance carriers to check status and make appeals on unpaid/underpaid accounts
  • Responsible for all aspects of collecting and resolving unpaid patient account balances to legally maximize client collections.
  • The Biller/Collector Specialist is responsible for timely, appropriate billing and collection of monies from Payors on specialized and complex accounts.
  • This position is responsible for providing advanced, high-caliber problem identification and resolution as it pertains to billing, collections, as well as coding.
  • Perform collection functions utilizing system work queues by prioritizing for maximum efficiency and results
  • Work smart by multi-tasking
  • Work with insurance claims clearinghouse (Availity)
  • Effectively communicating on the phone with inbound and outbound calls to reach positive resolutions
  • Contact insurance companies to verify eligibility coverage for drug benefits
  • Coordinate and follow through on the reimbursement activity for specific patient account
  • Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients, and other authorized parties. Reports any trends in incoming correspondence to managers for appropriate follow-up.
  • Initiates recommendations and actions for resolving patient accounts. Evaluate accounts to determine any write-offs or corrections required, including duplicate charges.
  • Submit bills to insurance for secondary insurance.
  • Monitors and resolves all Self Pay Accounts Receivable upon Self Pay entry or transfer date from Insurance; Follow up at least once every 30 days with more frequent follow up as necessary
  • Credit card payments processed to center in a timely fashion
  • Researches and analyzes denied, outstanding accounts and payments for the appropriate action and resolution
  • Weekly Working the denial EOBs writing reconsideration or appeal letters to insurance companies
  • Weekly Working aging reports for Insurances you are assigned
    • Checking Claim Status by using the internet site or making phone call to insurance company
    • Using the internet and or calling insurance companies to verify insurance information such as ID numbers of groups, payer ID and dates of coverage.
Company DescriptionPrestige is a full-service medical billing company which provides excellent service for our client. The Medical Collector Specialist is an integral component to verifying and maintaining proper medical billing. Medical Collector Specialist are responsible for the daily back-end denials or rejections. They review client charts and medical records and identify appropriate diagnosis and procedure codes for revenue cycle initiatives.Company DescriptionPrestige is a full-service medical billing company which provides excellent service for our client. The Medical Collector Specialist is an integral component to verifying and maintaining proper medical billing. Medical Collector Specialist are responsible for the daily back-end denials or rejections. They review client charts and medical records and identify appropriate diagnosis and procedure codes for revenue cycle initiatives.

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