Claims Recovery Collector

Company: Confidential
Location: Irving
Posted on: February 24, 2021

Job Description:

One of the country's leading healthcare management companies is looking for Medical Claims Recovery Collectors 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:
  
  • MUST have 2 years Call Center experience
  • MUST have Medical Claims 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
    Duration: 0 - 4+ Months
    Location: Irving, Texas - Remote until back in the office
    Pay Rate: 18/hr
    

Keywords: Confidential, Irving , Claims Recovery Collector, Other , Irving, Texas