Clinical Collections Expert

hace 4 días


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

Overview: Our clinic is seeking an experienced Clinical Collections Specialist to join our Revenue team in Tijuana, Baja California, Mexico.

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About the Role: As a key member of our Revenue team, you will be responsible for managing delinquent accounts, arranging repayment agreements with patients, and assisting in other parts of the billing office as needed. You will work closely with patients to explain benefits, contact them regarding outstanding co-payments and deductibles, process refund requests, submit appeals for denied claims, and more.

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Key Responsibilities:

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  • ">
  • Explain benefits to patients">
  • Contact patients regarding outstanding co-payments and deductibles">
  • Process patient and/or insurance refund requests">
  • Submit appeals for denied claims">
  • Sending 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">
  • Follower 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 costumer service">
  • Handles multi-line and multi-language telephone calls">
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Requirements:

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Expert knowledge of Microsoft Office (Outlook, Excel and Word) is required. 1+ years of Collections or relevant experience is also required. Effective communication skills, ability to work in a high volume patient environment, result and goal oriented, ability to set priorities and meet deadlines, strong attention to detail, self starter, and Service Excellence skills are necessary.

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Compensation and Benefits:

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The estimated salary for this role is $208,000 - $209,000 per year. Additionally, you will receive IMSS 100%, vacations (after the first year), Christmas bonus, paid training, two days off, Mexican Holidays off, and eligibility for additional employee benefits in the future.

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Work Environment:

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This is a full-time position working on-site in Tijuana, B.C., Mexico. The successful candidate must be willing to relocate to Tijuana before starting work.



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