Medical Collections Specialist

6 days ago

Warren, United States Sevita Full time
Accounts Receivable Collections Specialist

At Sevita, we strive to provide exceptional care and support to individuals and families across the United States. As an Accounts Receivable Collections Specialist, you will play a vital role in our mission by ensuring timely and accurate claims submissions to payers.

Key Responsibilities:
  • Review and work on Denial Workflow (DWF) tasks with follow-up dates set to expire on the same day and tasks without a payer response after 30 days from billing.
  • Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution.
  • Prepare appeal packets as required by payers, scan and save documentation, and update DWF with notes and follow-up dates.
  • Update collection procedures as necessary.
  • Review and work denials in the workflow system, payer portal, and/or clearinghouse portal daily.
  • Follow up with field staff on updates to items assigned to them that are past follow-up dates.
  • Update DWF with clear and concise notes as claims are worked.
  • Review unapplied cash logs for items that can be applied and work with the cash team to resolve.
  • Complete necessary forms and provide support for refunds, cash moves, sales adjustments, and transfer of liability.
  • Ensure internal control compliance with assigned areas and other audit requirements.
  • Maintain an effective control environment for accounting operations.
Requirements:
  • High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred.
  • 2-3 years of experience with medical collections in a high-volume environment preferred.
  • Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms.
  • Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types.
  • Self-motivated, detail-oriented, and highly organized with the ability to multi-task.
  • Excellent communication skills, analytical skills, and the ability to collect information from multiple sources.
  • Effectively use Microsoft Office.
Why Sevita?

We offer a full compensation and benefits package for employees working 30+ hours a week, 401(k) with company match, paid time off, and holiday pay. Our team is dedicated to providing complex work that adds value to our organization's mission. We have meaningful work for you – come join our team and enjoy job security with nationwide career development and advancement opportunities.

  • Collections Product Specialist

    2 months ago

    Warren, United States PURE Insurance Full time

    About the role. The Collections Product Specialist will assist in the support and maintenance of the fine art, jewelry, and collectibles product line, contributing to the growth and profitability of this specialized business segment. This role supports the product team nationally and can be based in any of our offices, with a preference for New York and...

  • Collections Product Specialist

    2 weeks ago

    Warren, United States PURE Insurance Full time

    About the RoleThe Collections Product Specialist will play a key role in supporting the growth and profitability of our fine art, jewelry, and collectibles business segment. This individual will work closely with our product team to develop and maintain comprehensive product initiatives, driving business growth and increasing our competitiveness in the...

  • Product Specialist

    1 week ago

    Warren, United States PURE Insurance Full time

    About the RoleThe Collections Product Specialist will play a key role in supporting the growth and profitability of our fine art, jewelry, and collectibles product line. This individual will work closely with the product team nationally and can be based in any of our offices, with a preference for New York and Chicago, though remote work will be...

  • Phlebotomy Collection Specialist

    3 weeks ago

    Warren, Michigan, United States American Red Cross Full time

    Important Note: Please ensure you are using Google Chrome or Mozilla Firefox when accessing Candidate Home.By becoming a part of the American Red Cross, you will impact countless lives annually and witness the extraordinary resilience of the human spirit. Are you prepared to contribute to the largest humanitarian network globally?Career Overview:We offer...

  • Medical Support Specialist

    1 week ago

    Warren, Michigan, United States Takeda Pharmaceutical Company Ltd Full time

    About the RoleWe are seeking a highly skilled Medical Support Specialist to join our team at BioLife Plasma Services, a subsidiary of Takeda Pharmaceutical Company Ltd. As a Medical Support Specialist, you will play a critical role in supporting plasma center operations and ensuring the highest level of customer service and quality.Key...

  • Medical Support Specialist

    7 days ago

    Warren, United States Ascension Full time

    About Our CommunityAt Ascension Living, we're dedicated to providing exceptional care and services to our residents. Our beautiful community offers a unique blend of city comforts and cultural opportunities, making it the perfect place to call home.We're committed to supporting the well-being of our residents, and we're looking for a skilled Medical Support...

  • Medical Laboratory Specialist

    7 days ago

    Warren, New Hampshire, United States KA Recruiting Inc. Full time

    We are seeking a highly skilled Medical Laboratory Specialist to join our team at KA Recruiting Inc.About the Role:As a Medical Laboratory Specialist, you will be responsible for performing various laboratory tests and procedures to aid in the diagnosis and treatment of diseases.Key Responsibilities:Conduct laboratory tests and procedures to analyze patient...

  • Medical Laboratory Specialist

    1 week ago

    Warren, New Hampshire, United States KA Recruiting Inc. Full time

    We are seeking a highly skilled Medical Laboratory Specialist to join our team at KA Recruiting Inc.About the Role:As a Medical Laboratory Specialist, you will be responsible for performing a variety of laboratory tests and procedures to aid in the diagnosis and treatment of diseases.Key Responsibilities:Conduct laboratory tests and procedures to analyze...

  • Medical Specialist

    3 days ago

    Warren, United States Sapphire Solutions Full time

    We are seeking a highly motivated and responsible Assistant Doctor to join our team at Sapphire Solutions in the greater Bonn area.The offer includes:A diverse and interesting work environment as an Assistant Doctor in a modern academic teaching hospitalAn interdisciplinary center for geriatric traumatology is available for comprehensive careExtensive...

  • Medical Support Specialist

    2 weeks ago

    Warren, United States Steward Health Care Full time

    Job Summary:We are seeking a highly skilled and dedicated Medical Support Specialist to join our team at Steward Health Care. As a Medical Support Specialist, you will play a vital role in supporting the delivery of high-quality patient care in our ICU department.Key Responsibilities:Perform a variety of clinical and administrative tasks to support the...

  • Senior Patient Access Specialist

    1 week ago

    Warren, United States Ensemble Health Partners Full time

    About Ensemble Health PartnersWe are a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Our comprehensive suite of point solutions supports clients across the country, helping us keep communities healthy by keeping hospitals healthy.The OpportunityWe are seeking...

  • Medical Support Specialist

    1 week ago

    Warren, Michigan, United States Ascension Full time

    About the RoleWe are seeking a dedicated and compassionate Medical Support Specialist to join our team at Ascension Medical Group - Cardiovascular Associates Macomb. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support.ResponsibilitiesAdminister prescribed medications to patients under the...

  • Medical Support Specialist

    7 days ago

    Warren, United States Ascension Full time

    About the RoleWe are seeking a dedicated and compassionate Medical Support Specialist to join our team at Ascension Macomb-Oakland Hospital WOUND HYPER Center MACOMB. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support.Key ResponsibilitiesAdminister prescribed medications to patients under the...

  • Senior Patient Access Specialist

    1 day ago

    Warren, United States Ensemble Health Partners Full time

    Job Title: Senior Patient Access SpecialistEnsemble Health Partners is seeking a highly skilled Senior Patient Access Specialist to join our team. As a key member of our revenue cycle management team, you will be responsible for performing admitting duties for all patients admitted for services at our hospital.Key Responsibilities:Assign accurate MRNs and...

  • Certified Medication Technician

    6 days ago

    Warren, United States Wellpath Full time

    About the RoleWe are seeking a skilled Certified Medication Technician to join our team at Wellpath. As a Medication Administration Specialist, you will play a critical role in ensuring the safe and effective administration of medications to our patients.Key ResponsibilitiesAdminister prescribed medications and document them on the Medication Administration...

  • Medical Support Specialist

    4 days ago

    Warren, United States Bay City URGENT CARE WALK IN CLINIC Full time

    Medical Assistant Job DescriptionAt Bay City URGENT CARE WALK IN CLINIC, we are seeking a highly skilled Medical Assistant to join our team. As a Medical Assistant, you will play a vital role in providing exceptional patient care and administrative support to our healthcare professionals.Key Responsibilities:Assist healthcare professionals in providing...

  • Medical Assistant

    1 week ago

    Warren, United States Steward Health Care Full time

    Job SummaryWe are seeking a skilled and compassionate Healthcare Support Specialist to join our team at Steward Health Care. As a key member of our nursing unit, you will play a vital role in providing exceptional patient care and supporting our mission to deliver high-quality, affordable healthcare.ResponsibilitiesAssist nursing staff with patient care...

  • Behavior Therapist/Medical Support Specialist

    2 weeks ago

    Warren, United States Integrated Autism Centers Full time

    Job Title: Behavior Therapist/Medical Support SpecialistIntegrated Autism Centers is seeking a highly motivated and compassionate Behavior Therapist/Medical Support Specialist to join our team.Job Summary:We are looking for a skilled and dedicated professional to provide high-quality care to our clients with autism. As a Behavior Therapist/Medical Support...

  • Pharmacist - Medication Management Specialist

    2 weeks ago

    Warren, Ohio, United States Mercy Health Full time

    About the RoleMercy Health is seeking a highly skilled Pharmacist to join our team in a Medication Management Specialist role. As a key member of our healthcare team, you will be responsible for ensuring the safe and effective use of medications across our organization.Key ResponsibilitiesProcess medication orders and provide clinical support to ensure safe...

  • Patient Access Operations Specialist

    3 weeks ago

    Warren, United States Ensemble Health Partners Full time

    About the Role:We are seeking a highly skilled Senior Patient Access Specialist to join our team at Ensemble Health Partners, a leading provider of technology-enabled revenue cycle management solutions for health systems. As a Senior Patient Access Specialist, you will be responsible for performing admitting duties for all patients admitted for services at...