Medical Accounts Specialist
7 days ago
We are seeking a highly skilled Medical Accounts Specialist to join our team at North Shore Medical Center. In this role, you will play a critical part in ensuring the accuracy and timeliness of patient accounts receivable.
About UsAs a leading medical center, we offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician-directed care and RN supervision. Our commitment to professional development, functional improvement, and community partnerships sets us apart.
Salary and BenefitsWe offer competitive market pay with hourly rates negotiable based on experience. Full-time employees are eligible for comprehensive benefits, including medical, dental, and vision insurance plans. Bonus opportunities are available for outstanding performance.
ResponsibilitiesThis position involves various duties under the supervision of the Director of Revenue Cycle or designee, including:
- Performing patient account follow-up and credit balance review
- Contacting insurance carriers regarding outstanding balances
- Resubmitting claims with necessary remarks and/or attachments
- Filing insurance reconsideration letters for payment disputes
- Validating accounts for accurate payments and adjustments
- Responding to insurance carrier correspondence
- Running insurance eligibility checks and correcting claims as needed
To be successful in this role, you should have:
- A high school diploma or equivalent
- At least one year of commercial, HMO, PPO, and Workers Compensation billing and/or insurance follow-up experience
- A working knowledge of HMO, PPO, commercial, and Workers' Compensation reimbursement
- Understanding of managed care contract language and interpretation
In addition to a competitive salary and benefits package, we provide a stable and growing work environment with opportunities for training and advancement within the medical field.
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