Medical Collections Specialist

hace 4 semanas


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

We are seeking a highly skilled 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 and arranging repayment agreements with the patient.

Key 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, review EOBs and post payments, review/monitor reports, research and resolve outstanding claim issues, work with report management system, check benefits through InstaMed, Navinet, MassHealth or any other website that check benefits and eligibility, use the organization's EMR system proficiently, use EMR's eligibility tool to see if insurance is active, follow routine protocol of further task creation for all departments in case of approval or denial, use Excel proficiently, demonstrate knowledge of services, professionalism and outstanding customer service, adhere to established procedures for inter-office communication and other guidelines related to the job and the company.

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.



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