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Medical Collections Specialist

Company: Nationwide Vision
Location: Mesa
Posted on: June 11, 2021

Job Description:

Job Title: Medical Collections Specialist

We are looking for a knowledgeable Patient Collections Specialist to join our team, who possesses a high degree of professionalism, excellent communication skills, is dependable, and able to work independently.

Collection Specialist Responsibilities: Communicate directly with patients regarding their financial responsibility for services provided Process payments received by patients via phone, payment program, or mail Document all calls timely and accurately in the patients accounts in the billing system as well as documenting on tracking logs pertaining to the process Establish payment arrangements per company policy Contact insurance companies to check eligibility and benefits via phone or online portals Assist with other billing/collection duties, as needed which may include: Prepare, review, and transmit claims using billing software including electronic, website submission, and paper claim processing Status unpaid claims within standard billing cycle timeframe Timely review/handling of insurance claim denials, exceptions, or exclusions Utilizing aging reports and work flow statuses provided by Supervisor to address any unpaid or open claims over 30, 60, 90, and 120 plus Ability to research and appeal denied claims Perform additional duties as requested by Supervisor or Upper Management Team Requirements: Proven experience as a Patient Collection Specialist or similar role for 2+ years Experience with CPT and ICD-9/10; Familiarity with medical terminology Knowledge of billing procedures and collection techniques Computer experience is essential, including, but not limited to: practice management software, clearing houses, MS Office, and spreadsheet applications Adhering to company standards of compliance with policies and procedures Strong written and verbal communication skills Keep Supervisor abreast weekly of any concerns or issues associated with accounts Detailed oriented Consistent production results Good problem solving and research skills Able to multi-task and meet deadlines

Keywords: Nationwide Vision, Mesa , Medical Collections Specialist, Other , Mesa, Arizona

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