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Texas Electrophysiology Associates

Cardiology Revenue Cycle Collector

Career Insights for Medical Claims Processor / Representative

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$45,636 / year median in Texas

-1% projected decline

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Job Description

Cardiology Revenue Cycle Collector Texas Electrophysiology Associates Houston, TX Job Details Full-time $45,760 - $64,000 a year 11 hours ago Benefits Paid time off Qualifications Customer communication Medical coding experience in outpatient clinics Medical records Managing patient records Medical terminology Medical debt collection accounts Patient collections management DRG Full Job Description Overview Join our dynamic healthcare team as a Cardiology Revenue Cycle Collector, where your expertise will drive the financial health of our cardiology services. In this vital role, you will actively manage and resolve outstanding medical claims, ensure accurate billing processes, and facilitate seamless communication between patients, insurance providers, and internal departments. Your energetic approach and attention to detail will help optimize revenue flow while delivering exceptional customer service to our valued patients and partners. Duties Review and follow up on unpaid or denied healthcare claims related to cardiology services, ensuring timely resolution. Utilize billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Records) systems to track claim status and update patient accounts accurately. Collaborate with insurance companies to clarify coverage details, resolve discrepancies, and expedite payments. Apply knowledge of DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) coding, ICD-9, ICD-10, and ICD coding standards to ensure precise claim submission. Communicate effectively with patients regarding outstanding balances, payment plans, or insurance issues while providing excellent customer service. Maintain comprehensive documentation of collection efforts, correspondence, and account activity for audit readiness. Stay current with healthcare claims management regulations and updates in medical coding standards to optimize billing accuracy. Experience Proven experience in medical collections within a healthcare setting, preferably in cardiology or specialty clinics. Strong understanding of medical billing processes, healthcare claims management, and insurance procedures. Familiarity with medical terminology, medical records management, and coding systems such as
DRG, CPT
coding, ICD-9/10 is essential. Proficiency in Microsoft Office applications along with experience using billing software and EMR/EHR systems. Excellent customer service skills with the ability to communicate clearly and professionally with patients and insurance representatives. Knowledge of health insurance policies and medical office operations to navigate complex billing scenarios effectively. Prior experience working with healthcare claims adjudication processes is highly desirable. Embark on a rewarding career that combines your passion for healthcare finance with your commitment to exceptional patient support!
Pay:
$45,760.00 - $64,000.00 per year
Benefits:
Paid time off
Work Location:
In person