Medical Collector

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

1. Maintains knowledge of Medicare and Medicaid guidelines and applies that knowledge to billing as required by individual contracts.

2. Understands Medicaid, Medicare and Insurance billing, including coordination of benefits and appeals process for redeterminations.

3. Multi-tasks in various computer applications to gather billing and collection information to perform collections.

4. Performs systematic collections as directed by management.

5. Verifies outstanding account balances.

6. Performs follow up as necessary and re-bills according to collection policy.

7. Enters call back notes into appropriate databases for future collection efforts and inter-departmental communications.

8. Prepare price adjustments and refunds as appropriate.

9. Adheres to KPIs as defined for this role in Accounts Receivable.

10. Manages work queue in a timely and efficient manner resulting in resolved AR avoiding timely filing write offs.

11. Raises awareness on denial trends to management, with supporting data.

12. Raises awareness on pricing trends to management (short pays), with supporting data.

13. Reconciles open accounts to clearly establish patient responsibility.

14. Performs related duties as required or as assigned by supervisor.

15. Works minimum 40-hour work week with required overtime as business needs dictate.

Qualifications

• Experienced accounts receivable (collections) representative (at least 2 years solid experience) from a physician practice 
• Experience with insurance denials/appeals, Auto, Worker's comp
• Familiar with FL law and regulations
• Experienced in Self Pay, Medicare, Medicaid, Workers Compensation, Auto, HMO and Commercial payors
• Ability to interpret insurance explanation of benefits (EOB's) and compose and submit appeals to insurance carriers as necessary
• Familiarity with modifiers

Additional Information

My name is Aaron Hanshew and I am a Recruiting Consultant from Healthcare Support. I specialize in the placement of medical professionals nationwide (both clinical and non-clinical). 

Are you an experienced Medical Collector in Orlando, FL looking for a new opportunity with a prestigious insurance company? Do you want the chance to advance your career by joining a growing company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex schedules and the opportunity to grow with the company? If you answered “yes” to any of these questions – this is the position for you!

If you would like to be considered for this opportunity please respond to this Email as soon (today) as possible!

Looking forward to hearing from you!