Medical Collections Specialist

NuView Health


Date: 7 hours ago
City: Boca Raton, FL
Contract type: Full time
Description

General Description:

Responsible for a combination of medical billing and collections.

Essential Functions Include But Are Not Limited To

  • Enter patient demographics from hospital EHR into our PM system.
  • Post charges for assigned facilities.
  • Work electronic insurance rejects daily to retransmit with corrected insurance information.
  • Enter notes in the collection system of action taken.
  • Communicate information needed for collections to the Director, RCM.
  • Answer questions from patients, staff, and insurance companies.
  • Identify and resolve patent billing complaints
  • Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
  • Follow-up on unpaid claims within standard billing cycle timeframe.
  • Send reconsiderations and appeals through insurance portals.
  • Maintain strict confidentiality; adheres to all HIPAA guidelines/regulations.
  • Other duties as assigned.

Requirements

Education:

High School diploma or GED.

Skills/Experience

  • Two plus years billing/collecting in the health care field is required.
  • Knowledge of medical billing/collection practices.
  • Knowledge of basic medical coding and third-party operating procedures and practices.
  • Ability to read, understand and follow oral and written instruction.
  • Ability to establish and maintain effective working relationships with patients, employees, and doctors
  • Must be well organized and detail oriented.

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