Job Details
Premier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Premier Medical Resources is seeking a full-time Medical Collections Specialist to join our team. The ideal candidate will have relevant industry knowledge in third-party payers.
**This position would be eligible for Hybrid schedule upon successful completion of 90-days of employment**
**$2,000 dollar sign on bonus**
ESSENTIAL FUNCTIONS:
- Responsible for managing, monitoring, and collecting payments on accounts from all Third-Party Payers and patients
- Actively initiates contact to patients with past due balances
- Responds to insurance company correspondence including requests for information and claim review
- Works with insurance providers to resolve outstanding claims and appeal any denied or unpaid claims
- Performs ongoing trend analysis on third party payer payment levels to ensure that reimbursement is in accordance with allowable amounts stated in agreements and contracts. Works with appropriate individuals to resolve discrepancies
- Processes and posts patient payments daily to ensure account balances correctly reflect the current balance due
- Researches and processes all refund requests within the insurance contractual obligations and state and federal laws
- Maintains confidentiality of medical records
- Answers billing office phone calls
- Responsible for handling the accounts receivable for 3rd parties
- Guides the functions of the department in accordance with departmental policies, procedures, and standards
- reviews department policies, procedures, manuals, etc., at least annually, and participates in making recommended changes
- Interprets department policies and procedures to personnel, patients/family members, etc., as necessary
- Performs other related duties as assigned to support the hospital
KNOWLEDGE, SKILLS, AND ABILITIES:
- Demonstrates critical thinking skills, ability to organize and respond to urgent or emergent situations.
- Demonstrates decision-making skills based on accurate information and/or analysis of data.
- Strong Communication skills.
- Knowledge of medical terminology, CPT codes, ICD-10 codes and procedures, technical job knowledge, and Third-Party payer requirements and reimbursement rules.
- Problem solving skills.
- Patience and ability to manage stress.
- Excellent typing and 10-key speed and accuracy.
- Proficient use of Microsoft Office programs including World, Outlook, and strong Excel skills.
EDUCATION AND EXPERIENCE:
- High School Diploma or GED
- Bilingual Required (English/Spanish)
- Three (3) years of Insurance Collections/billing Reimbursement experience in a hospital setting
BENEFITS:
- 3 Medical Plans
- 2 Dental Plans
- 2 Vision Plans
- Employee Assistant Program
- Short- and Long-Term Disability Insurance
- Accidental Death & Dismemberment Plan
- 401(k) with a 2-year vesting
- PTO + Holidays
Please visit our website for more information:
www.pmr-healthcare.com
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
Job Posted by ApplicantPro