Medical Collections Specialist

hace 1 semana


Tijuana, Baja California, México USA Clinics Group A tiempo completo
Job Summary

We are seeking an experienced and highly detailed Medical Collections Specialist to join our Revenue team at USA Clinics Group. The Medical Collections Specialist is the primary source for managing patients' delinquent accounts, including sending accounts to collections. This position will be responsible for arranging repayment agreements with the patient and assisting in other parts of the billing office as needed.

Key Responsibilities
  • Account Management: Explain benefits to patients, contact patients regarding outstanding co-payments and deductibles, process patient and/or insurance refund requests, submit appeals for denied claims, and send medical records and other documentation requests to insurance (as needed).
  • Reporting and Analysis: Review EOBs and post payments, review and monitor reports (Pending charges, A/R, Medical records & tasks), and research and resolve outstanding claim issues.
  • Communication and Customer Service: Work with report management system, check benefits through InstaMed, Navinet, Masshealth, or any other website that checks benefits and eligibility, use the organization's EMR system proficiently, and use ERM's eligibility tool to see if insurance is active.
  • Administrative Tasks: Follow the routine protocol of further task creation for all departments in case of approval or denial, use Excel proficiently, and perform other related duties as assigned.
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 a high level of job accuracy, efficiency, and dependability
  • Maintain 100% confidentiality relating to all patients, corporate, financial, and proprietary information
Benefits
  • Commissions
  • IMSS 100%
  • Vacations (after the first year)
  • Christmas bonus
  • Paid training
  • Weekends off
  • Mexican holidays off
  • Pay: $16,000.00 per month


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