Medical Collector/Biller Dr. Luis Reynoso, MD - 5.0 Harlingen, TX Job Details Part-time | Full-time $12 - $13 an hour 3 days ago Qualifications Appeals Medicare Managed care Research Medicaid health insurance Medicare regulations Medicaid regulations Medicaid Critical thinking Full Job Description

JOB SUMMARY

The part time medical collection specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations.

MAJOR DUTIES & RESPONSIBILITIES

 Responsible for correcting, completing, and processing claims for all payer codes;  Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;  Process appeals online or via paper submission;  Assist in reconciling deposit and patient collections  Communicate with billing and r to identify and resolve audit review issues  Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.;  Communicate daily with internal and external customers via phone calls and written communications;  Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor;  Research, record findings, and communicates effectively with Manager to achieve optimum performance;  Ability to learn quickly, build and maintain long term relationships and work with minimal supervision

Pay:

$12.00 - $13.00 per hour

Work Location:

In person