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Medical Collections Specialist
4 months ago
*Description:*
* Review billing information, debt, and unpaid insurance claims.
* Verify accuracy of claims data, including CPT and HCPCS codes.
* Submit electronic and/or paper claims promptly.
* Contact patients, insurance companies, and other relevant parties regarding outstanding bills.
* Negotiate repayment plans and resolve payment discrepancies.
* Monitor claim status and follow up on rejections and denials.
* Maintain accurate records of account activities, adjustments, and collections.
* Document interactions with patients and insurance companies.
* Ensure proper data entry for efficient tracking.
* Interpret medical insurance cards and verify patient eligibility.
* Confirm coverage details and benefits.
* Address any discrepancies promptly.
* Provide excellent customer service to patients and address inquiries related to billing and collections.
* Explain payment options and assist with payment arrangements.
* Adhere to regulatory guidelines and company policies.
* Stay informed about changes in billing and coding practices.
* Collaborate with other departments (such as billing, finance, and customer service) to streamline processes.
* Participate in team meetings and contribute insights for process improvement.
*Additional Skills & Qualifications:*
Minimum of 3-5 years of experience in medical billing and collections setting.
* Proficiency in medical billing software and electronic health records (EHR) systems.
* Strong understanding of medical terminology, CPT/HCPCS codes, and insurance billing procedures.
* Excellent communication skills, both verbal and written, with the ability to interact professionally with patients, insurance companies, and internal stakeholders.
* Detail-oriented with a high level of accuracy in data entry and documentation.
* Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities and deadlines effectively.
* Knowledge of healthcare compliance regulations, including HIPAA, Medicare, and Medicaid guidelines
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
