Medical Collector Specialist

2 weeks ago

Colleyville, Texas, United States Medix Full time
{"Job Title": "Medical Collector Specialist", "Job Description": "Job Summary

Medix is seeking an experienced Medical Collector Specialist to join our team. As a Medical Collector Specialist, you will be responsible for ensuring daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days.

Key Responsibilities
  • Research outstanding balances and take necessary collection action to resolve in a timely manner.
  • Recommend necessary demographic changes to patient accounts to ensure future collection.
  • Research assigned correspondence and take necessary action to resolve requested information promptly.
  • Establish appropriate follow-up and ensure prompt and timely payment.
  • Evaluate payments/denials received for correctness and ensure they are applied appropriately.
  • Identify patterns of non-payment, underpayments, overpayments, and duplicate payments and investigate to resolve or escalate to supervisory personnel.
  • Identify bad debt write-offs and A/R adjustments in accordance with policies and procedures.
  • Process refund requests in accordance with policies and procedures.
  • Review insurance remittance advice for accuracy and identify billing errors, short payments, over payments, and unpaid claims.
  • Review residual account balances after payments are applied and generate necessary adjustments, overpayment notifications, refund requests, and secondary billing.
Requirements
  • High School Diploma or equivalent (GED).
  • Minimum 2 years experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement.
  • Working knowledge of automated billing systems and experience with CPR/CareTend/Brightree/Kareo preferred.
  • Knowledge of insurance claim submission processes and familiarity with various payer guidelines.
  • Ability to meet quality, productivity, individual, and department goals.
  • Ability to independently obtain and interpret information.
  • Must be detail-oriented with the ability to analyze, organize, prioritize, and multi-task.
Work Environment

Monday - Friday, Day shift, 8 AM to 5 PM CST with flexibility available. Business Casual dress code.

How to Apply

Click "Apply" or email your resume to Medix - Anticipating Needs. Exceeding Expectations.

"}

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