Medical Billing and Collector Specialist
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Overview
Job Description
- Review and work insurance accounts receivable to ensure timely collection of payments
- Follow up on unpaid, denied, or underpaid claims with insurance companies
- Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA)
- Identify, investigate, and resolve claim denials and payment discrepancies
- Submit corrected claims, appeals, and reconsiderations as needed
- Verify insurance benefits, coverage, and authorization status when required
- Maintain accurate documentation of all collection activity and payer communication
- Communicate effectively with billing, coding, front desk, and clinical staff
- Ensure compliance with insurance guidelines, contracts, and regulations
- Meet productivity and collection goals while maintaining quality standards
- Verify medical insurance
- Contact suited parties to obtain needed information to verify benefits
- Calculate out of pocket expenses for patients
- Obtain authorization
- Obtain medical records and notes from doctors’ offices
- Send medical records and notes to insurance for authorization
- Follow up on previous requested authorization
- Speak to clinical technician when needed on authorizations
- Download EFT payments and verify they are posted correctly
- Accurate data entry
- Manage clearing house (Optum)
- Correct and resubmit any denials from health insurance companies
- Minimum 2-3 years' experience in health insurance collection and verification
- Minimum 2-3 year's experience using EMR systems, Availity, Optum health insurance provider portals
- Experience using Evicore or authorization online portals
No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
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Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
