Medical Collections Specialist

hace 1 semana


Tijuana, Baja California, México Usa Clinics Group A tiempo completo

**Job Summary:**

We are seeking a highly skilled Medical Collections Specialist to manage patients' delinquent accounts and ensure timely repayment. The ideal candidate will have excellent communication skills, attention to detail, and the ability to work in a high-volume patient environment.

**Key Responsibilities:**

  • Explain benefits to patients and resolve any issues related to outstanding co-payments and deductibles.
  • Contact patients regarding delinquent accounts and negotiate repayment agreements.
  • Process patient and/or insurance refund requests and submit appeals for denied claims.
  • Send medical records and other documentation requests to insurance companies as needed.
  • Review EOBs and post payments, as well as monitor reports for pending charges, A/R, medical records, and tasks.
  • Research and resolve outstanding claim issues and work with the report management system.
  • Check benefits through InstaMed, Navinet, MassHealth, or other websites that verify insurance eligibility.
  • Use the organization's EMR system proficiently and follow established procedures for inter-office communication.

**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-oriented, and goal-driven.
  • Ability to multi-task effectively and maintain 100% confidentiality relating to all patients, corporate, financial, and proprietary information.

**Benefits:**

  • IMSS 100%
  • Vacations (after the first year)
  • Christmas bonus
  • Paid Training
  • Two days off
  • Mexican Holidays off

**Job Types:** Full-time, Commission

Pay: From $16,000.00 per month

Work Location: In person



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