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Global Path Resources

Insurance Collections Specialist - Onsite

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Job Description

About the Opportunity A hospital in Lake Charles is seeking Patient Account Specialists to support its medical collections team. This is a great opportunity for someone with healthcare billing or collections experience who is interested in a contract role with the potential to transition to a permanent position. Collections - Insurance Collects balances due from commercial and/or governmental insurance and third-party payers, ensuring proper reimbursement for services. Identifies denied or underpaid claims and works toward timely resolution within payer guidelines. Maintains working knowledge of payer claims processing, appeal procedures, provider contracts, and reimbursement methodologies. Demonstrates knowledge of standard billing forms, filing requirements, explanations of benefits, and online payer portals. Identifies and communicates issues and trends impacting account resolution and reimbursement. Summary Provides medical collection services for hospital collection units. Utilizes a strong background in medical collections to successfully resolve accounts placed for collection. Performs collection activities related to follow-up and account resolution, including communication with patients, clients, reimbursement vendors, and other external entities while adhering to applicable client, state, and federal guidelines. Patient and client satisfaction is essential. Associates are expected to understand collection workflows for both active accounts receivable and bad debt inventory. Responsibilities Provides effective collection services, ensuring successful recovery of accounts in accordance with client and state guidelines. Documents and updates patient accounts accurately and timely. Performs billing, A/R follow-up, and credit balance resolution activities that result in claim payment. Identifies trends and root causes to improve the effectiveness and efficiency of the physician revenue cycle. Provides excellent customer service to hospital personnel, insurance carrier representatives, and patients. Documents all follow-up efforts in the practice management system. Assists with patient education concerning insurance plans. Follows HIPAA guidelines to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality. Uses oral and written communication skills to effectively convey ideas in a clear, positive manner. Maintains established hospital policies, procedures, objectives, quality assurance, safety, environmental, and infection control standards. Performs all other duties as assigned. Requirements High school diploma or equivalent; college coursework a plus. Ability to operate a telephone, computer, copier, fax machine, and 10-key calculator by touch. Effective oral and written communication skills. Detail-oriented. Ability to work independently and as part of a team. Minimum three years of physician billing experience . Preferred Experience Extensive knowledge of CPT, HCPCS, and ICD-9 coding principles in a multi-specialty physician practice. Thorough understanding of government and commercial payer guidelines and reimbursement methodologies. Ability to perform all aspects of the physician billing cycle, including initial claim submission, payer rejection resolution, denial follow-up, secondary appeals, and refund processing. Advanced understanding of medical terminology.
Pay:
$18.50 - $21.00 per hour Expected hours: 40.0 per week
Benefits:
401(k) Dental insurance Health insurance Vision insurance Application Question(s): How many years of insurance collections experience do you have and with which payers? How many years of experience do you have with resolving insurance denials?
Education:
High school or equivalent (Required)
Experience:
medical billing and collections: 3 years (Required) Ability to
Commute:
Lake Charles, LA 70601 (Required)
Work Location:
In person

Benefits

  • 401(k) Plans
  • Health Insurance
  • Dental Insurance
  • Vision Insurance