Medical Collector

2 months ago

Orlando, United States Medusind Full time
Job DescriptionJob DescriptionDescription:

At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms.


Our four-prong approach of an excellent management team coupled with detailed eye for processes, experienced manpower, and cutting-edge technology helps us deliver superior, cost-effective services to our clients across the globe.

Benefits:

Health insurance

Dental insurance

Vision insurance

Employer paid life insurance

Employer paid short-term and long-term disability

Voluntary additional life insurance

Employee Assistance Program

48 hours of sick time after three months.

80 hours of vacation time after six months.

$400 referral bonuses


Full-time, Remote, $21.50 hourly.

Duties include but are not limited to:

  • Coordinates the resolution of incidents and pended open incidents, initiation of appeals, including the verification of demographic and insurance information, when needed.
  • Reviews and monitors the reimbursements due from different insurance companies and determines appropriate collection methods and account follow-up according to the federal and state compliance guidelines.
  • Pursues insurance carriers by placing phone calls, documenting all work performed, and pending incidents to clients, to ensure payments are received as promised by insurance carriers.
  • Works the outstanding accounts on a daily basis to ensure payment of open incidents.
  • Reviews the Explanation of Benefits received from the insurance companies and taking appropriate action, including appealing all claims that are denied or underpaid, request for adjustments from clients.
  • Advises the supervisor of any trends insurance denials in order to identify problems with particular payers. This individual responds to inquiries from account managers and insurance carriers.
Requirements:
  • Previous medical billing experience, with multiple specialty experience preferred.
  • Extensive experience with CPT codes, Modifiers and DX codes is a MUST
  • Experience with Payer guidelines, physician billing, appeals & denials.
  • Previous experience with private, government, and workers’ compensation insurance companies a plus.
  • Strong verbal, written, organizational, and interpersonal skills.
  • Ability to organize and prioritize workload to manage multiple tasks, and to meet deadlines.
  • Ability to change tasks as needed for urgent issues.
  • Ability to work with individuals at all organizational levels.

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