Claims Recovery Collector - Experienced Medical

Company: Confidential
Location: Irving
Posted on: January 12, 2021

Job Description:

One of the country's leading healthcare management companies is looking for a Medical Claims Recovery Collector to join their team Job Summary: We are seeking a talented individual for a Claims Recovery Collector I who is responsible for recovering payments from commercial insurance carriers who should have paid primary to the Medicaid agency Main Duties and Responsibilities: Confer with carriers by telephone or use Web sites to determine member eligibility and claim status. Assess denials, pursue appeals or close claims when appropriate. Update case management system with proper noting of actions and appeal/denial information. Respond to carrier telephone, fax and e-mail inquiries regarding outstanding claims. Sort and file correspondence. Mail form letters to carriers to affect payment of outstanding claims. Contact providers to obtain additional information and/or documentation to resolve unpaid claims. Manage a weekly aging report. Job Requirements: Required Education/Experience: Strong understanding of third-party billing and/or claims processing. Ability to use critical thinking skills. Possess good customer service skills. 2 yrs experience with third party institutional billing 1 yr experience handling claims appeals Ability to interpret an Explanation of Benefits (EOB) and UB-04 claim forms required Ability to work proficiently with Microsoft Windows, Word and have basic knowledge of Excel. Average manual dexterity in use of a PC, phone, sorting, filing and other office machines. Ability to be detail oriented. Ability to learn and follow HIPAA privacy and Security rules. Ability to work independently to meet predefined production and quality standards Ability to perform well in a team environment to achieve business goals. Education Requirements: High School Diploma or GED required Associates degree preferred Additional Information: Work Schedule: M - F 8:00 am - 5:00 pm (Remote until back in the office) Duration: 0 - 3 Months Location: Irving, Texas Pay Rate: 18/ hr

Keywords: Confidential, Irving , Claims Recovery Collector - Experienced Medical, Other , Irving, Texas