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Medical Collections Specialist-PA

Mpower Health

Medical Collections Specialist-PA

San Antonio, TX
Paid
  • Responsibilities

    We are looking for an experienced Medical Collections Specialist to expand our Revenue Cycle for our physician assist team to assist in collecting payments for physician and diagnostic surgical procedures to ensure effective cash receipts. We operate in a fast-paced and ever-changing environment that requires fast thinking, outstanding organization skills and exceptional verbal communication skills.

    Overview of Job Functions and Duties:

    • Follow-up on open and pending insurance claims to ensure collection within insurance company time limits.
    • Prepare and submit insurance claim appeal letters.
    • Assist in claims charge entry and posting of payments.
    • Maintain confidentiality and adhere to HIPAA and other regulations.

    Skills, Knowledge, and Abilities:

    • Well versed in CPT and ICD-10 codes, procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
    • Proficient in EMR software and Microsoft Word, Excel and Outlook.
    • Skilled in medical billing database and EHR systems.
    • EMR/EMR Experience
    • Follow-up experience with insurance companies and patients for complete claims processing and maximum payment.
    • Familiarity with commercial insurance carriers, Medicare, PPO, HMO, Workers Compensation, No-Fault carriers and their guidelines.
    • Work effectively in a team environment.
    • Strong ability to identify, analyze and solve problems.
    • Self-motivated and approach tasks with a positive, proactive demeanor.
    • Organized and detail-oriented.
    • Ability to communicate effectively in writing, over the telephone, and in person.

    Education and Experience:

    • High school diploma (college degree a plus).
    • 3+ years of experience in medical billing and collections with a billing company or healthcare facility in insurance claims and patient A/R follow-up.

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