Medical Collector
Job
TEKsystems
Remote
$52,000 Salary, Full-Time
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Job Description
Teksystems is currently hiring for a Medical AR Follow-Up opportunity. As a Medical Collections Specialist, you will manage tasks related to rejected, denied, and outstanding insurance claims, ensuring accuracy throughout the billing process. This includes addressing issues such as missing or incomplete documentation, delays in claim processing due to submission requirements, and credentialing concerns. Success in this role depends on thorough research, timely communication, and proactive problem-solving. While this list includes primary duties, additional tasks may be assigned. Accommodations can be made for individuals with disabilities to perform essential functions.
- Complete accounts receivable collections and follow-ups to expedite insurance payments for assigned claims.
- Contact insurance companies via phone, mail, or clearinghouse correspondence to address account inquiries and update information.
- Communicate claim issues related to patient benefits to the verification team and field staff for resolution.
- Proactively collaborate with third-party payers to resolve claims processing issues, improve communication, and stay updated on changes to plan requirements.
- Assist in streamlining policies and procedures for more effective and efficient operations of third-party carriers, providing updates to the Billing Supervisor as needed.
- Prepare and assist with monthly reports, focusing on key indicators, payer issues, and unit performance, to improve metrics such as DSO (Days Sales Outstanding).
- Process appeals by gathering required documentation, resubmitting claims, and following up promptly to track resolution.
- Maintain compliance with HIPAA and CMS guidelines in all interactions and documentation Skills EMR, claims resolution, billing collections, medical collections, accounts payable/receivable, Hospital billing Top Skills Details EMR, claims resolution, billing collections, medical collections, accounts payable/receivable
Additional Skills & Qualifications Qualifications & Experience:
To succeed in this role, candidates must meet the following qualifications:Education:
Bachelor's degree or Associate's degree with 3 years of professional office experience, or High School diploma/GED with 5 years of experience (healthcare setting preferred).- Strong attention to detail and a thorough, results-oriented work ethic.
- Self-motivated, with a professional curiosity to learn and recommend innovative solutions.
- Excellent communication and interpersonal skills.
- Ability to adapt in a fast-paced environment, remain calm under pressure, and multitask effectively.
- Commitment to providing exceptional customer service, maintaining professionalism, and supporting team collaboration.
- Knowledge of insurance benefit coordination, medical billing, and credentialing.
- Ability to use independent judgment to handle confidential information responsibly.
- Experience analyzing and interpreting data to prepare actionable reports.
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Saint Louis,MO.
San Francisco Fair Chance Ordinance:
Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.Massachusetts Lie Detector:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.Similar jobs in Saint Louis, MO
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