Medical Collections Specialist Position in Northeast Region
1 week ago
At Praesum Healthcare, we are committed to providing administrative services that support healthcare providers in the Northeast region. Our growth-focused business model has enabled us to establish ourselves as a leader in the industry.
This position is an excellent opportunity for a Medical Collections Specialist to join our team and contribute to our success. The successful candidate will be responsible for performing payment follow-up and collection activities on patient accounts, calling insurance carriers directly, and attempting to collect on unpaid claims. Excellent written and verbal communication skills, along with a professional yet assertive approach, are essential for this role.
The ideal candidate will have a high school diploma or GED equivalent and a minimum of 2-3 years of experience in a medical collection role. They should possess analytical skills, customer service skills, and proficiency in Microsoft Office applications.
Job Responsibilities:
· Review and audit medical records for accuracy in billing, coding, and insurance requirements
· Organize and manage patients' health information data
· Prepare daily charges and claims to be submitted electronically to clearing houses and insurance carriers
· Accounts Receivable follow-up with insurance carriers
· Claim denial management with electronic clearing house
· Utilize three different code sets: CPT, HCPCS, and ICD-10 for appropriate billing to insurance carriers
· Release information to persons and agencies according to state and federal regulations
Requirements:
· High School Diploma or GED equivalent
· AA Degree or Vocational training preferred in a related field
· A minimum of 2-3 years of experience in a medical collection role - communication with both patients and insurance companies
· Individual must be computer literate with proficiency in Microsoft Office applications
· Customer Service skills/experience 1-2 years
· Analytical skills
Compensation:
We offer a competitive hourly rate based on experience. Full-time employees may also be eligible for benefits, including medical, dental, vision, STD options, medical FSA, dependent care account, 401k with company match up to 5%, accrued PTO, education reimbursement, and career advancement opportunities.
About Praesum Healthcare:
Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions.
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