Eastern PA Gastroenterology & Liver Specialists Hiring for Medical Collections Specialist Job at Allentown, PA Full Time

Our practice is currently seeking a full-time Medical Collections Specialist to join our team!

Job Title: Medical Collections Specialist

General Summary: A non-exempt position responsible for medical insurance collections that includes customer service regarding collection issues, process, reviewing account adjustments, and resolving patient discrepancies. Also, performing established financial processes that enable and expedite medical insurance billing and collections. Handling billing claims according to Federal/State regulations, compliance of governing agencies, patient account research & resolution, identification of reimbursement issues, resolution of credits & issuance of refunds, follow-up, and resolution of denied claims.

Essential Job Responsibilities:

Monitor and utilize AR reports to target aged balances for collection.

Ability to follow up, work, and appeal insurance denials.

Online claims follow-up and appeal on Navinet, Availity, Pear, Novatisphere, UHC, Cigna, etc.

Demonstrate a high level of time management and efficiency.

Update billing system consistently to reflect collection process and communications.

Analyzing and resolving billing errors that are delaying insurance payments.

Provide excellent & considerate customer service to patients.

Meet defined department goals and activity metrics.

Alert management of irregularities, payer trends, and other areas of concern.

Education: High school diploma.

Experience: Previous experience in medical collection activities, billing, and coding.

Knowledge:

• Working knowledge of cash management principles and/or procedures.
• Working knowledge of health care billing procedures, documentation, and standards.
• Working knowledge of appropriate billing and payment cycles for medical accounts.
• Experience in electronic medical records required.
• Experience with Microsoft Word and Excel required.
• Knowledge in medical terminology, CPT, ICD-10, AND HCPCS coding.

Skills:

• Proficient in the use of medical practice management systems and software utilized in the practice.
• Skill in computer and spreadsheet applications.
• Skill in effective oral and written communication.
• Ability to deal with problems involving several concrete variables in standardized situations.
• Ability to calculate figures and amounts such as copayments, deductibles, etc.

Abilities:

• Strong interpersonal and communication skills with an ability to work effectively with insurance companies, patients, physicians, managers, and other staff.
• Ability to prioritize and manage multiple responsibilities.

Equipment Operated:

Standard office equipment with emphasis on computer hardware and software as well as telephone use.

Work Environment:

In–Office setting, well lighted, good air quality.
The noise level in the work environment is usually moderate.

Mental/Physical Requirements:

Mostly sedentary with some standing, walking, reaching.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

While performing the duties of this job, the employee is regularly required to sit and talk or listen.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Experience:

• medical collections: 1 year (Preferred)

Work Location: One location