Medical Collections Specialist

1 week ago


Dallas, Texas, United States SCP Health Full time
Unlock Your Potential in Medical Collections

At 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 Responsibilities:
  • Support the general activities and claims adjudication of the Medical Collection department with denial management and appeals for designated rejections.
  • Review Accounts Receivable (AR) by payer daily to ensure reimbursement goals and days in AR are maintained or achieved.
  • Research and resolve invoices routed to the Specialists Views; to include Escalated Views, CE View, Correspondence View, Rejection View, etc.
  • Prepare required appeals relating to past timely filing, medical necessity, and other denials.
  • Provide regular feedback to management, based on research and calls to payers, to establish payer behavior trends.
  • Document and ensure each SCP Health Special Arrangement is processed correctly and returning the expected results.

What We're Looking For:
  • You have at least 3 years of direct Medical Insurance Denials Management experience, Central Billing Office experience preferred.
  • You have experience working Provider Emergency Medicine and/or Provider Hospital Medicine claims preferred, Provider Worker's Compensation claims experience is also a plus.
  • You have experience adjudicating medical claims from Government and/or Commercial payers.
  • You are tech savvy with Medical Billing Systems experience, experience with AthenaIDX and/or OnBase a plus and have EMR experience.

Why SCP Health?
  • We value people, process, and technology.
  • We offer a flexible schedule and a strong track record of providing excellent work-life balance.
  • We provide comprehensive benefits and competitive compensation.
  • We foster an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.


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