Job Types
Employment Types
Job Locations

Medical Collection Specialist

Apply Now
Posted Apr 20, 2021
Job Description

We are currently searching for an experienced Medical Collections Specialist professional in The Woodlands, Texas area. This collection position focuses solely on commercial and Medicare insurance collections. In this role, you will be responsible for investigating why claims have not been paid. The ideal candidate for this collection job will have at least 4 years experience in the Medical Collections environment. You will be responsible for refilling denied claims, processing denials, and following up with payers to collect on past due accounts.

Essential Duties and Responsibilities:

Must have a strong understanding of all parts of Medicare
Ensures daily accomplishments work towards company goals for cash collections and A/R
Understands and adheres to state and federal regulations, and to company policies regarding to compliance, integrity, patient privacy and ethical billing and collection practices
Understands and adheres to HIPAA and PHI guidelines
Reviews insurance remittance for accuracy
Identifies billing errors, short payments, over payments, unpaid claims, and resolves accordingly communicating any needed system changes
Reviews residual account balances after payments are applied and generates necessary adjustments (within eligible guidelines), over payment notification, refund request, and/or secondary billing as needed
This is a very fast pace office and process over 150 claims a day and growing. Must be hardworking and self-motivated
Handling patient owes such as past dues, monthly statements, patient account reconciliation questions, etc...

Skills Required

In this position your knowledge and skill will require you to have:

A minimum of at least 4 years experience in medical collections with a working knowledge of Medicare and third payer reimbursements
Working knowledge of automated billing systems
Working knowledge and application of metric measurements, basic accounting practices, ICD-10, CPT and HCPCS coding



Job Categories

Job Types(s):   Accounting / Finance, Healthcare / Nursing

Industry(s):   Healthcare

Employment Type:   Employee - Full Time

Job Location(s):   The Woodlands

Contact Information

Neville Foot & Ankle Centers

Submit Your Resume
Members with resumes on Woodlands Online can quickly submit your resume for this job