MEDICAL COLLECTIONS SPECIALIST

The Medical Collections Specialist performs assigned collection activities under moderate supervision to resolve unpaid claims and appeals, and processes billing ledgers to produce effective collection results in an accurate and timely manner. Due to the year-end closeout process, PTO is blacked out during the last week of December each fiscal year. THIS POSITION TRAINS IN OUR ST. PETERSBURG, FL OFFICE AND THEN GOES REMOTE AFTER +/- SIX (6) MONTHS OF EMPLOYMENT IN GOOD STANDING. PERMANENT LOCAL RESIDENCY (within 20 miles of Tampa, FL) IS REQUIRED.

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ESSENTIAL RESPONSIBILITIES:*

• Contacts insurance carriers to resolve billing issues
• Analyzes daily denials and aging accounts for resolution
• Determines and initiates appropriate action to resolve denied/rejected invoices and prepares payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes
• Ensures the coordination of collection activities for designated accounts, leading to the timely reimbursement of receivables
• Coordinates with attorneys on legal cases for auto, workers compensation, and slip and fall cases
• Communicates with Billing Manager on any potential claim issues
• Answers incoming calls for billing questions
• Processes payments for deductibles and co-insurances on surgical/self-pay patients

QUALIFICATIONS AND EXPERIENCE:

• High School Diploma
• Certified Professional Coder required (ex: AAPC)
• 3-5 years Healthcare/Insurance Collections experience involving spine and neck specifically
• Multi-tasker, self-starter, high stress tolerance, and highly motivated with a sense of urgency
• Allscripts EHR experience preferred
• Permanently resides within twenty (20) miles of Tampa, Florida
• Ability to effectively understand, follow, and communicate oral and written instructions in English. Must read, write, and speak English fluently to ensure clear work-related communication and patient safety.

INCLUSIVE, EQUAL OPPORTUNITY EMPLOYER

Job Type: Full-time

Pay: $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday