Medical Insurance Collections Specialist

4 weeks ago


Dallas, Texas, United States Prism Health North Texas Full time
Job Summary

We are seeking a highly skilled Medical Insurance Collections Specialist to join our team at Prism Health North Texas. This role is responsible for collecting payments from third-party medical, dental, and behavioral health payors, ensuring prompt and accurate payment of claims.

Key Responsibilities
  • Monitor claims status and follow up on rejected, denied, partially paid, and incorrectly paid claims to insurance carriers in a timely manner.
  • Respond to payor correspondence and secure additional documentation required or requested by insurance carriers.
  • Identify coding, billing, and/or payment errors and make indicated corrections.
  • Communicate patterns of consistent payer delays, systematic denials, and other issues to management.
  • Demonstrate a thorough understanding of insurance plan, Medicare, and Medicaid contracted rates, terms, and regulations to identify inaccurate payments and/or adjustments.
  • Investigate, analyze, and resolve denials from insurance carriers.
  • Understand and analyze EOB/ERA information to verify accuracy of insurance payments and patient balances.
  • Post charges, payments, adjustments, etc., as assigned.
  • Maintain current knowledge on insurance carrier billing requirements and changes.
  • Accurately and timely update insurance, payment, and claim activity information in EHR/billing system.
  • Collaborate effectively with patients, providers, and staff to obtain needed information and improve organizational billing and collections performance.
Requirements
  • Detail-oriented, independent critical thinking, and problem-solving skills.
  • Demonstrated ability to handle multiple responsibilities and meet tight deadlines in a complex environment.
  • Demonstrated knowledge of medical, dental, and/or behavioral health provider reimbursement, medical terminology, ICD-10, CPT, and HCPCS coding.
  • Proficiency in MS Word, Excel, and Outlook. Experience with MS Teams preferred.
  • Excellent written and oral communication skills.
  • Excellent technical and business acumen.
Education and Experience
  • High school or equivalent education required. Associate's degree, Medical Assistant training, or other relevant certificates, certifications, or post-secondary education preferred.
  • Minimum of 3 years' experience in medical collections (medical, dental, and/or behavioral health); billing; coding; and/or denials management required.
  • Medical and/or Dental Coding Certification required.


  • Dallas, Texas, United States Exceptional Healthcare Inc. Full time

    Job DescriptionExceptional Healthcare Inc. is seeking a skilled Medical Insurance Collection Specialist to join our team. As a key member of our healthcare team, you will be responsible for performing collection activities on NSA Negotiations. To succeed in this role, you must possess in-depth knowledge of medical insurance policies and excellent written and...


  • Dallas, Texas, United States AIS Healthcare Full time

    About the RoleAIS Healthcare is seeking an experienced and skilled Insurance Collections Specialist to join our dynamic team. As a key member of our Accounts Receivable Collection team, you will be responsible for managing the collection process for our Targeted Drug Delivery services.Key ResponsibilitiesConduct thorough contract analysis and reimbursement...


  • Dallas, Texas, United States SCP Health Full time

    Unlock Your Potential in Medical CollectionsAt SCP Health, we're dedicated to bringing hospitals and healers together in the pursuit of clinical effectiveness. As a Medical Collections Specialist, you'll play a vital role in our revenue cycle process, ensuring reimbursement goals are met and days in accounts receivable are minimized.Your Key...


  • Dallas, Texas, United States Randstad Full time

    Job SummaryWe are seeking a highly skilled Medical Claims and Collections Specialist to join our team at Randstad. As a key member of our healthcare team, you will be responsible for managing outstanding receivables, preparing and submitting medical claims, and resolving billing issues.Key ResponsibilitiesManage outstanding receivables, ensuring prompt...


  • Dallas, Texas, United States United Surgical Partners Full time

    Job SummaryWe are seeking a highly skilled Medical Collections Specialist to join our team at United Surgical Partners. The successful candidate will be responsible for resolving outstanding surgical claims and ensuring maximum reimbursement for our hospital.Key Responsibilities:Timely follow-up and resolution on all outstanding A/R, including unpaid,...


  • Dallas, Texas, United States Aloden, Inc. Full time

    Job Title: Bilingual Medical Collections SpecialistAbout the Role:We are seeking a highly skilled Bilingual Medical Collections Specialist to join our team at Aloden, Inc. As a Bilingual Medical Collections Specialist, you will be responsible for communicating with patients and healthcare providers to resolve medical billing issues.Key Responsibilities:-...

  • Medical Specialist

    4 weeks ago


    Dallas, Texas, United States Proesis Bio Full time

    Job Title: Medical Specialist - Plasma CollectionProesis Bio is a contemporary and forward-thinking human source plasma collection platform dedicated to improving the plasma donation journey for all stakeholders.We partner with communities and donors to supply the industry with the high-quality plasma necessary for treating people with rare and chronic...


  • Dallas, Texas, United States Dallas Medical Center Full time

    Overview:Dallas Medical Center, a leading healthcare provider, seeks a skilled Medical Insurance Specialist to join its team. As a Medical Insurance Specialist, you will play a critical role in ensuring seamless patient care by verifying insurance eligibility and benefits.Responsibilities:Verify patient insurance eligibility and benefits for emergent and...


  • Dallas, Texas, United States Greenberg Traurig Full time

    Job Title: Collections SpecialistGreenberg Traurig, a global law firm, is seeking a highly skilled Collections Specialist to join our team in Dallas, Houston, or Austin. As a key member of the Revenue Management department, you will play a critical role in driving the collection process and interacting with attorneys, clients, and staff.Key...


  • Dallas, Texas, United States Randstad Full time

    Medical Collections Specialist OpportunityWe are seeking an experienced collections representative with a strong background in the healthcare industry. The ideal candidate will have a minimum of 4 years of experience in medical collections, with a focus on commercial or Medicaid collections. DME experience is a plus, as is experience with collections for a...

  • Collection Specialist

    4 weeks ago


    Dallas, Texas, United States Services By J National LLC Full time

    We are seeking a skilled Collection Specialist to monitor accounts and communicate with clients regarding outstanding payments. The ideal candidate has excellent negotiation and interpersonal skills, with the ability to work with limited supervision.ResponsibilitiesReview accounts to identify overdue paymentsResearch client information and historical data on...


  • Dallas, Texas, United States Norton Rose Fulbright Full time

    Job Description:We are seeking a highly skilled Collections Specialist to join our team at Norton Rose Fulbright. As a Collections Specialist, you will be responsible for a high volume of correspondence to clients, updating relevant client status information in the firm database, and comprehensive accounts receivable portfolio review by partner for assigned...


  • Dallas, Texas, United States Norton Rose Fulbright Full time

    Job Description:We are seeking a highly skilled Collections Specialist to join our team at Norton Rose Fulbright. As a Collections Specialist, you will be responsible for a high volume of correspondence to clients, updating relevant client status information in the firm database, and comprehensive accounts receivable portfolio review by partner for assigned...


  • Dallas, Texas, United States Randstad US Full time

    Job Summary:We are seeking a skilled Legal Collections Specialist to join our team at Randstad US. As a Legal Collections Specialist, you will be responsible for managing collections and billing processes, ensuring timely and accurate payments from clients.Key Responsibilities:Manage collections and billing processes, including sending invoices and following...


  • Dallas, Texas, United States Randstad Full time

    Job Title: Legal Collections SpecialistWe are seeking a highly skilled and experienced Legal Collections Specialist to join our team at Randstad. As a key member of our law firm, you will be responsible for managing and resolving complex legal collections cases.Responsibilities:Manage and resolve complex legal collections casesDevelop and implement effective...

  • Collection Specialist

    4 weeks ago


    Dallas, Texas, United States SERVPRO of DuncanvilleDeSoto Full time

    Key Responsibilities:As a Collection Specialist at SERVPRO of Duncanville/DeSoto, you will be responsible for communicating with customers regarding their accounts, providing customer service and support in a professional manner, negotiating payment plans, and maintaining accurate records of customer accounts and payment history.Benefits:Our company offers a...

  • Collection Specialist

    3 weeks ago


    Dallas, Texas, United States Aon Full time

    Aon is seeking a skilled Collection Specialist to join our Surety department. This hybrid role can be based out of any of our Aon offices.As a Collection Specialist, you will be responsible for improving premium collection for the region, assisting surety analysts and advisors with contacting clients for unpaid delinquent invoices, and compiling data on...

  • Collection Specialist

    3 weeks ago


    Dallas, Texas, United States Westlake Portfolio Services Full time

    We are seeking an experienced and skilled Collection Specialist to join our team at Westlake Portfolio Services. In this role, you will be responsible for collecting delinquent accounts and working with customers to resolve payment issues.The ideal candidate will have a strong background in collections, excellent communication and negotiation skills, and the...


  • Dallas, Texas, United States ProCollect Inc. Full time

    Job Title: Bilingual Debt Collections SpecialistProCollect Inc. is seeking a highly skilled and motivated Bilingual Debt Collections Specialist to join our team. As a key member of our collections team, you will be responsible for contacting past due accounts via phone, working accounts per day, maintaining accurate collection notes, and operating a...


  • Dallas, Texas, United States ProCollect Inc. Full time

    Job OverviewProCollect Inc. is seeking a highly motivated and organized Bilingual Collections Specialist to join our team in Dallas, TX. As a Bilingual Collections Specialist, you will be responsible for performing collections on a specific portfolio of accounts that are past due under the general supervision of a Collections Supervisor.Key...