Medical Insurance Specialist - Collections (ON SITE - NOT REMOTE)

Job Summary

Communicates with internal and external individuals to obtain information, resolve issues, and maximize reimbursements for services. Monitors accounts to ensure correct reimbursement is received. Work closely with the manager and supervisors in formulating and implementing departmental objectives.

Responsibilities:

• Claims follow-up, status, and appeals via online web portal or outbound calls to various insurance companies and Medicare.
• Performs verification as assigned.
• Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner.
• Assist Patient Access Representatives with onsite patients for collections purposes.
• Provide backup phone coverage to Customer Service

Education:

• High School diploma or equivalent.

Experience:

• Three years of experience in medical billing, registration or collection.
• NextGen EPM software experience is a plus.

Special Skills:

• Two years of experience in medical claims follow-up, appeals, and collections.
• Two years of experience in a customer service environment.
• Epic software experience a plus.
• Availity/RealMed software experience a plus.
• Must have proficient keyboarding skills, be familiar with the Windows environment and have an understanding of various payer verification/claims software.
• Evidence of excellent communication skills both oral and written including the ability to spell accurately and write legibly.
• Excellent customer service skills.

Physical Demands:

• Continuous sitting.
• Frequent use of computer (repetitive fine hand manipulation) and simple grasping of items.
• Occasional bending and twisting of neck and back, standing and/or walking, lifting/carrying of items up to 25 lbs.

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Equal Employment Opportunity

Medical Clinic of Houston, L.L.P. ("MCH") is an Equal Opportunity Employer. Equal employment opportunity is a sound and just concept to which MCH is firmly bound. MCH will not engage in discrimination against or harassment of any person employed or seeking employment with MCH on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.