Medical Collections Specialist

  • location: Plano, TX
  • type: Temp to Perm
  • salary: $24 - $26 per hour
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job description

Medical Collections Specialist

JOB SUMMARY: The Specialist, Account Resolution is the lead responsible for the timely follow-up of managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.

--Works account assigned to work list both expediently and thoroughly to expedite payment and final disposition of account.
--Communicates effectively with patients, and other payers to facilitate payment in a timely fashion.
--Makes clear legible notes in EPIC pertaining to any collection efforts made on accounts. (Proper use of activity codes.)
--Performs timely follow up and ensures appropriate action taken at system-mandated intervals.
--Identifies Hospital/Corporate contracted payers.
--Performs special projects and assignments in an accurate, efficient, and thorough manner.
--Explains hospital deposit policies and payment arrangement standards.
--Performs other duties as assigned or required.
--Performs lead duties in order to assist with attainment of revenue cycle goals
--Meets cash goal requirements and all other KPI??s

Working hours: 8:00 AM - 5:00 PM

--Excel Proficient
--Outlook Proficient
--Insurance Verification/Prior Authorizations

High School


--Hospital collections: 3 years (Preferred)


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