Medical Collections Specialist Position in Northeast Region

1 week ago


Lake Worth, Florida, United States Praesum Healthcare Full time
Praesum Healthcare Job Opportunity

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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