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Medical Collections Specialist

Howitt & Paris Eye Care
Miami, FL Full Time
POSTED ON 3/24/2025
AVAILABLE BEFORE 4/7/2025

Busy Ophthalmology office seeking a Collection Specialist with thorough knowledge of Medicare, Medicaid, Commercial, HMO, PPO, Third Party payer requirements and reimbursement rules.

Required Skills:

  • Ability to multi-task and analyze trends
  • Work courteously and respectfully with fellow employees, clients and patients

Responsibilities: Audit claims and search for underpayments, read and interpret explanation of benefits (EOBs)

  • Responsible to work denials, process appeals and send corrected claims as needed.
  • Reviews and monitors reimbursements due, and determines appropriate collection and account follow-up procedure
  • Pursues insurance carries by placing phone calls, documenting work performed, and setting safeguards to ensure that payments are received
  • Prepares bi-monthly reports for account receivables and other items assigned for Management
  • Reviews benefit explanations from insurance companies and takes proper actions to request adjustments or refunds when applicable
  • Identifies trends and any problems with particular payors and reports findings to Management
  • Makes necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies
  • Computer experience is essential, including, but not limited to: practice management software, word processing and spreadsheet applications

List of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary

Experience:

  • Medical reimbursement Collector: 1 years (Required)
  • English and Spanish or Creole (Preferred)

Medical insurance benefits provided. Background check will be performed.

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Experience:

  • Medical Billers & Coders: 1 year (Preferred)
  • ICD-10: 1 year (Preferred)

Language:

  • Spanish or Creole (Preferred)

Work Location: In person

Salary : $17 - $20

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