Medical Billing Collections Specialist

  • location: Pittsburgh, PA
  • type: Temp to Perm
  • salary: $17 - $19 per hour
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job description

Medical Billing Collections Specialist

Randstad has an exciting opportunity currently available in the Pittsburgh area!

Responsibilities:
-Obtain referrals and pre-authorizations as required for procedures
-Check eligibility and benefit verification
-Review patient bills for accuracy and completeness and obtain any missing information
-Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
-Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
-Follow up on unpaid claims within standard billing cycle timeframe
-Check each insurance payment for accuracy and compliance with contract discount
-Call insurance companies regarding any discrepancy in payments if necessary
-Identify and bill secondary or tertiary insurances
-All accounts are to be reviewed for insurance or patient follow-up
-Research and appeal denied claims
-Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
-Set up patient payment plans and work collection accounts
-Update billing software with rate changes
-Updates cash spreadsheet, runs collection reports

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

Skills:
-Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
-Use of computer systems, software, 10 key calculator
-Effective communication abilities for phone contacts with insurance payers to resolve issues
-Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
-Able to work in a team environment
-Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
-Knowledge of accounting and bookkeeping procedures
-Knowledge of medical terminology likely to be encountered in medical claims

Education:
High School

Experience:
Experienced

Qualifications:
-High School Diploma/Equivalent is required
-Candidates MUST have a minimum of 1-2 years of previous Healthcare Collections experience


Please feel free to contact us if you have any questions about this opportunity!

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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