Medical Collector / Accts Receivable Specialist

Surgery Partners, Inc; Beverly Hills (CA); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health Insurance

Life Insurance

PTO

401(k) retirement plan

Job summary

Surgery Partners, Inc is seeking a Medical Collector / Accounts Receivable Specialist. The role involves managing insurance claims, denials, and payments for healthcare services, reviewing billing data, and contacting insurers to determine payment status.

You will also prepare appeals and communicate with patients regarding repayment plans. Responsibilities include organizing appeals, reporting to management, and maintaining detailed records.

Qualifications

• High School Diploma or Equivalent is required.
• 2 years of medical collections experience is required.
• Good verbal and written communication skills are required.
• Knowledge of Windows-based systems and Microsoft Office is preferred.
• Experience with medical practice billing software is necessary.
• Proficient in medical terminology.
• Ability to communicate effectively with center management, staff, patients and physicians.
• Detail oriented and able to handle interruptions while re-evaluating priorities.

Responsibilities

• Review billing information, debt, and unpaid claims.
• Contact insurance companies to determine payment status for Medicare, PPO, HMO, etc.

Skills

Verbal communication

Written communication

Windows-based systems

Medical terminology

Medical billing software

Detail oriented

Analytical ability

Multi-project management

Self-starter

Education

High School Diploma or Equivalent

2 years medical collections experience

Tools

Medical billing software

MS Office

Job description

Medical Collector / Accounts Receivable Specialist

Medical Collectors are responsible for handling all parts of insurance claims and denials, as well as checking the status of claims for healthcare services. The duties may include:

• Reviewing billing information, debt, and unpaid insurance claims
• Contacting the insurance company with outstanding bills (Medicare, PPO, HMO etc) to determine payment status
• Providing correspondence and appeal denials and following up on appeals in process
• Organizing, researching, and preparing appeals
• Contacting patients with outstanding bills to determine a repayment plan
• Providing detailed reports to management

Education/Requirements

• High School Diploma or Equivalent
• 2 years of medical collections experience required
• Good verbal and written communication skills
• Knowledge of computers with experience in windows-based systems and Microsoft Office
• Experience with medical practice billing software necessary
• Proficient in medical terminology
• Ability to communicate effectively with center management, center staff, patients, their families, the physicians, and their staff
• Ability to handle frequent interruptions that result in having to re-evaluate priorities
• Detail oriented

Knowledge And Skills

• Has initiative, resourcefulness, analytical ability, problem solving skills, and can deal effectively and harmoniously with all groups and individuals
• Must be able to communicate articulately, comprehend written and verbal communications; and must be able to function effectively in a fast-paced work environment
• Experience in developing financial systems and procedures
• Ability to handle multiple projects in parallel with one another, including during deadline periods
• Ability to determine patient financial responsibility as determined by the insurance company from EOBs, contract language
• Effective appeal writing skills in collaboration with physicians for medical necessity
• Self-starter; able to work effectively with limited supervision
• Regular attendance habits
• Strong expertise with spreadsheets and accounting systems
• Other responsibilities as the business grows

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Benefits

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.