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Medical Follow Up/Collections Specialist in Purchase at Vaco

Date Posted: 5/4/2018

Job Snapshot

Job Description

Medical group in the White Plains area is seeking a hands-on Medical Collections Specialist to join their team! We are seeking candidates with experience dealing with Medicaid, Medicare, and third party insurances to start ASAP. This is an excellent opportunity for growth!

Responsibilities include:
  • Reviews patient bills for accuracy and completeness; obtains missing information
  • Knowledge of insurance, especially Medicare and Medicaid, rules and guidelines
  • Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances
  • Perform coding and billing tasks on a computerized health information technology
  • Utilize a combination of electronic health record (EHR) and paper patient records to perform billing duties; maintain an accurate, legally compliant medical record
  • Process claims as they are paid and credit accounts accordingly
  • Review insurance payments for accuracy and compliance with contract discounts
  • Review denials or partially paid claims and work with the involved parties to resolve the discrepancy
  • Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment
  • Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment
  • Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues
  • Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to supervisor
Requirements:
  • 1+ Years of Medical Collections/Follow Up Experience required
  • Experience with Medicaid, Medicare, and Third-Party Insurances
  • Must communicate professionally
  • Must present well
  • Must be knoweldgeable of billing and collections practices