Medical Insurance Collector

Retina Associates of South Texas is a growing specialty ophthalmology group practice. As part of our expansion plan, we are looking for an experienced Appeal & Billing Specialist to join our team .

Essential job duties/functions: Unqualified candidates will not be considered

· Review patient medical records and utilize clinical and regulatory knowledge and skills as well as knowledge of payer requirements to determine why cases are denied and whether an appeal is required.

· Strong knowledge and implementation of appeals process

· Strong analysis of EOBs for collections purposes

· Extremely detail oriented when working on appeals or reviewing EOBs

· Ability to multi-task with short timelines

· Ability to prioritize, organize work, and complete assignments in a timely matter

· Excellent interpersonal skills

· Responsible for managing medical denials and discussing with healthcare staff and billing team

· Utilize pre-existing criteria and other resources and clinical evidence to develop sound and well-supported appeal arguments, where an appeal is warranted.

· Proficiently read and understand abstract information from handwritten patient medical records.

· Ensure compliance with HIPAA regulations, to include confidentiality, as required.

. Attendance is vital and must be adhered to

· Other duties as assigned.

Able to start immediately.

If interested, please email your resume.

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• ICD-10: 2 years (Required)
• Insurance Collections: 2 years (Required)

Shift availability:

• Day Shift (Required)

Work Location: One location

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Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $17