Job Details
Are you passionate about healthcare and possess exceptional skills in medical collections? Medix is working alongside a client in the Post Oak area of Houston seeking a talented individual to join their growing team as a Medical Collector. This position offers a dynamic opportunity to contribute to our organization's success while enjoying a hybrid work environment.
Responsibilities:
- Complete Value-Based Reimbursement processes accurately and in accordance with industry best practices and GHA standards.
- Analyze and resolve assigned claims promptly, ensuring timely resolution.
- Liaise with carriers, physician offices, patients, and management to resolve issues and ensure claims status updates.
- Accurately verify insurance benefits related to claims and ensure timely updates.
- Process necessary adjustments following department protocols.
- Post payments accurately and efficiently.
- Handle claim appeals as required, ensuring proper documentation and submission.
- Obtain essential medical records and documents from relevant sources for claims payment.
Overview:
In this role, you'll employ various methods for accounts receivable (AR), including analyzing AR reports and collections reports to address aging categories and tickler items. Each day presents a unique focus, such as high-dollar claims on Mondays and adjustment codes on Tuesdays. The ability to sort and filter data in Excel is essential, along with proficiency in identifying and reporting trends to leadership.
Must-Have Skills/Qualifications:
- 2 years of experience in medical collections.
- Proficiency in Excel.
- Familiarity with commercial payers such as UHC, Aetna, BCBS, Cigna, and PCHS.
Nice-to-Have Skills:
- Experience with cardiovascular specialty.
Soft Skills/Attributes:
- Independent worker.
- Self-motivated.
- Proactive in taking initiative.