Medical Collections Specialist, Full-Time (Hybrid)

Methodist Hospital for Surgery; Addison (TX); On-site; USD 48,000 - 64,000; Full time

Job summary

Methodist Hospital for Surgery in Addison, TX is seeking a Medical Collections Specialist to ensure effective collection of patient accounts. This full-time hybrid/remote role requires strong attention to detail and experience in office billing and collections (CBO).

Responsibilities include follow-ups for insurance denials, appeals, and interacting with payer representatives, with EPIC experience preferred. Candidates should have 3–5 years in medical collections and solid MS Office skills.

Qualifications

• High school diploma required with strong attention to detail.
• 3–5 years of office billing and collections experience (CBO).
• Knowledge of insurance, CPT/ICD10, coding and DRG concepts.
• Experience with EPIC and MS Office applications is preferred.

Responsibilities

• Perform extensive insurance claim follow-ups for denials and appeals.
• Interact with payer representatives and internal departments.
• Present denial trends to management and participate in committees.
• Read and resolve payer denials and EOBs, ensuring timely filing.
• File corrected claims and appeals with supporting documents.

Skills

MS Office

Critical thinking

Medical collections

EPIC experience

Denials/appeals processing

Education

High School Diploma

Tools

Claims clearinghouse systems

Job description

Medical Collections Specialist, Full-Time (Hybrid)

Job Category: Billing, Coding, and Collection

Requisition Number: MEDIC041107

• Full-Time
• Hybrid

Locations

Showing 1 location

Methodist Hospital for Surgery
17101 Dallas Pkwy
Addison, TX 75001, USA

Description

GENERAL SUMMARY OF DUTIES:

The primary responsibility of the Medical Collection Specialist is to ensure effective collection of all patient accounts. This is a hybrid/remote position requiring internet speed of 5MB upload and 5MB download.

REQUIREMENTS:

• High School Diploma
• 3 to 5 years previous experience in office billing and collections environment (CBO)
• High degree of attention to detail and accuracy
• Ability to prioritize work assigned independently and multi-task
• Knowledge of insurance, billing terms, CPT/ICD10, coding and DRG
• Knowledge of modifiers usage and CCI edits
• Strong medical insurance background
• Working knowledge of MS Office applications which includes Outlook, Word, Excel, and Power Point
• Critical thinking skills
• Spine/Orthopedic surgery experience preferred
• EPIC experience preferred
• Minimum of three years' experience in medical collections
• Hospital Billing/Collections preferred

ESSENTIAL FUNCTIONS:

• Perform extensive insurance claim follow-ups for insurance denials, appeals, and perform next steps a must
• Ability to utilize multiple patients accounting and billing applications including but not limited to claims clearing house systems, payer websites,
• Ability to interact with the payer representatives, HIM, Insurance Verification and Access Service departments
• Participates in group meetings and /or various committees
• Ability to effectively present information regarding denial trends, and present to management
• Ability to read, understand, interpret and resolve payer denials and EOB's
• Understanding of copays, coinsurance, deductibles, and denial codes
• Ensure denial reviews, claim follow-ups are conducted in a timely manner in accordance with payer timely filing limits
• Correct claims and file appeals with supporting documents to insurance companies, by phone, electronically or mail
• Ability to work receivables to investigate and resolve denials and partial payments
• Ability to calculate reimbursement per payer contract
• Maintains a positive attitude toward their position and responsibilities

PHYSICAL DEMANDS:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
• While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust
• The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular
• The employee must be able to stand and/or walk at least five hours per

WORK ENVIRONMENT:

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.