Healthcare Collections Specialist
1 week ago
At Pathology Group of Louisiana, we are seeking a highly skilled and detail-oriented Medical Billing and Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for collecting outstanding claims for assigned payors, researching denials and refilling corrected claims, and monitoring reimbursement for assigned payors to ensure contracted fee schedules are being followed.
Key Responsibilities:
- Collects on outstanding claims for assigned payors
- Researches denials and refills corrected claims as well as researching unprocessed claims
- Researches and refunds credit balances for assigned payors
- Monitors reimbursement for assigned payor assuring contracted fee schedules are being followed
- Reports any issues with claims processing such as bundling, charge limits, etc...
- Issues an appeal to payors for any claims processed incorrectly
- Comments collection activity on patient's account
- Collaborates with other team members and Director
Requirements:
- High School graduate
- 1 to 3 years of experience in a medical billing office and collections
- Knowledge of Medical Terminology and MS Outlook and Excel
Additional Qualifications:
- Must be detail-oriented, organized and able to manage multiple projects and priorities
- Must be knowledgeable in medical billing and collections and have the ability to handle a high volume of accounts
- Must have good written and verbal communication skills
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Patient Care Specialist
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