Claims Recovery Collector I HMS 31 reviews - Irving, TX We are seeking a talented individual for a Claims Recovery Collector I who is responsible for recovering payments from commercial insurance carriers who should have paid primary to the Medicaid agency. Essential Responsibilities: * Confer with carriers by telephone or use Web sites to determine member eligibility and claim status. * Assess denials, pursue appeals or close claims when appropriate. * Update case management system with proper noting of actions and appeal/denial information. * Respond to carrier telephone, fax and e-mail inquiries regarding outstanding claims. * Sort and file correspondence. * Mail form letters to carriers to affect payment of outstanding claims. * Contact providers to obtain additional information and/or documentation to resolve unpaid claims. * Manage a weekly aging report. * Responsible for achieving high recoveries against a portfolio of claims. * Work with document imaging system for archival purposes. * Ensure that payers adhere to laws regarding timely filing of claims. * Pursue each outstanding account to reach maximum reimbursement by working with subject matter experts to resolve challenging claims. * Develop recovery strategies with each payer. * May have some training responsibilities limited to projects and specific tasks Non-Essential Responsibilities: * Performs other functions as assigned Qualifications : Knowledge, Skills and Abilities: * Strong understanding of third-party billing and/or claims processing. * Ability to use critical thinking skills. * Possess good customer service skills. * Ability to adapt to change. * Ability to manage time effectively and multi-task. * Ability to prioritize work. * Ability to perform basic calculations. * Ability to work proficiently with Microsoft Windows, Word and have basic knowledge of Excel. * Average manual dexterity in use of a PC, phone, sorting, filing and other office machines. * Ability to be detail oriented. * Ability to learn and follow HIPAA privacy and Security rules. * Ability to work independently to meet predefined production and quality standards. * Ability to perform well in a team environment to achieve business goals. Work Conditions and Physical Demands: * Primarily sedentary work in a general office environment * Ability to communicate and exchange information * Ability to comprehend and interpret documents and data * Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.) * Requires manual dexterity to use computer, telephone and peripherals * May be required to work extended hours for special business needs * May be required to travel at least 10% of time based on business needs Minimum Education: * High School Diploma or GED required, Associates degree preferred Minimum Related Work Experience: * > 2 yrs experience with third party institutional billing, >1 yr experience handling claims appeals, Ability to interpret an Explanation of Benefits (EOB) and UB-04 claim form required; DSM-IV, CPT, HCPCS, and CMS-1500 preferred Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time. Job Posting : Jun 20, 2018, 6:27:40 PM Work Locations : USA-Texas-Irving 10 hours ago - save job - original job Apply On Company Site Other jobs you may like Collector Rushmore Loan Management Services - Dallas, TX 5 days ago Collector Dallas Law Firm - Dallas, TX 30+ days ago Easily apply COLLECTOR 1 Methodist Health System - Dallas, TX 14 days ago A/R Collector Wilson Elser - Dallas, TX 7 days ago COLLECTOR 1 - JF Methodist Health System - Dallas, TX 30+ days ago * Claim Recovery Collector jobs in Irving, TX * Jobs at HMS in Irving, TX * Claim Recovery Collector salaries in Irving, TX HMS HMS 31 reviews Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume