Medical Soft Collector

hace 2 meses


México USA Clinics Group A tiempo completo

Monday - Friday (with possibility of working on Saturdays)
- 7am - 5pm
- $4,000mxn Weekly ($3,000mxn base salary and $1,000mxn attendance and punctuality bonus).
- _**ON SITE, TIJUANA, MX.**_

**Duties and Responsibilities**:

- Explain Benefits to Patients
- Contact Patients regarding outstanding co-payments and deductibles
- Process Patient and/or Insurance Refund Requests
- Submit Appeals for Denied Claims
- Send Medical Records and other documentation requests to insurance (as needed)
- Review EOBs and Post Payments
- Review/Monitor Reports (Pending Charges, A/R, Medical Records & Tasks)
- Research & Resolve Outstanding Claim issues
- Works with report management system.
- Checks benefits through InstaMed, Navinet, MassHealth or any other website that check benefits and eligibility.
- Uses the organization’s EMR system proficiently.
- Uses EMR’s Eligibility tool to see if insurance is active.
- Follows the routine protocol of further task creation for all departments in case of approval or denial.
- Uses Excel proficiently.
- Demonstrates knowledge of services, professionalism and outstanding customer service.*
- Handles multi-line and multi-language telephone calls.*
- Demonstrates knowledge of services, professionalism and outstanding customer service.*
- Adheres to established procedures for inter-office communication and other guidelines related to the job and the company.*
- Performs other related duties as assigned.

**We have 2 locations**:
**Playas**:
Calle de la Nieve 285, Playas, Monumental, Tijuana, B.C.

**Centro**:
Edificio Emilia, Calle 6ta, Ricardo Flores Magón, Zona Centro, Tijuana, B.C., México

**Requirements**:

- Expert knowledge of Microsoft Office (Outlook, Excel and Word).
- 1+ years of Collections or relevant experience required
- Effective Communication skills, ability to work in a high-volume patient environment, results and goal oriented, ability to set priorities and meet deadlines, strong attention to detail, self-starter, and Service Excellence skills.
- Ability to multi-task effectively.
- Quality improvement philosophy with high level of job accuracy, efficiency and dependability.
- Maintain 100% confidentiality relating to all patients, corporate, financial and proprietary information.
- Mexican documentation (Birth certificate, INE, CURP, RFC, SSN and Proof of recidence)

**Benefits**:

- IMSS (100%)
- Vacation after 1 year
- Aguinaldo
- Paid training
- Retention Bonus ($1,500mxn every 3 months for 2 years)
- Mexican Holidays

Pay: From $4,000.00 per week

Pregunta(s) de postulación:

- ¿Tienes al menos 1 año de experiência en collections?

Idioma:

- Inglés (Obligatorio)

Work Location: In person

Expected Start Date: 26/06/2023



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