Claims Recovery Collector - Experienced Medical
Company: Confidential
Location: Irving
Posted on: January 12, 2021
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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
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here to apply!
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