Demo

Medical Collections Specialist

Surgical Practice
Vero Beach, FL Full Time
POSTED ON 3/7/2025
AVAILABLE BEFORE 4/27/2025

Medical Collections Specialist

Essential Duties and Responsibilities

  • Accurately review all information from available documents to insure claim is correct.
  • Review all insurance information to ensure proper filing.
  • Review billing records for supporting documentation as needed for accuracy / work claim rejections.
  • Identify collection problems and correct.
  • Understand the importance and the process of working a claim timely.
  • Review claims that are sent back from the Payors requesting additional information and make necessary corrections.
  • Maintain a log of claims in process of collections.
  • Maintains strictest confidentiality.
  • Adhere to all company policies and procedures.

The requirements listed below are representative of the knowledge, skill, and ability required.

Qualifications include:

  • 2 - 5 years collectioms experience.
  • High School graduate or equivalent.
  • Associate degree preferred.
  • Working Knowledge of CPT, ICD-10, ASA and HCPCS coding.
  • Knowledge of all payer rules and regulations.
  • Knowledge of medical terminology and anatomy.
  • Ability to multi-task and prioritize needs in order to meet timelines.
  • Skill in computer applications including MS Word, MS Excel.
  • Skill in verbal and written communication.
  • Skill in gathering and reporting information.
  • Ability to work effectively with staff, physicians and external customers.
  • Must have a pleasant disposition and be a team player.
  • Ability to work independently with limited supervision.
  • Insurance verification of benefits.
  • Knowledge of Chart Review and claim submission.
  • Payment posting.
  • A/R review and follow up.
  • Trouble shooting denied claims.
  • Patient billing and collection calls.

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

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

Schedule:

  • 8 hour shift
  • Monday to Friday

Experience:

  • Medical Collections: 2 years (Required)

Work Location: In person

Salary : $20

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