Medical Collection Specialist – Preferred Medical Group – Naples, FL

Preferred Medical Group is a fast growing organization looking for the right individual to add to our team! The Medical Collection Specialist is responsible for billing/collecting of outpatient surgical and imaging services provided by our ambulatory surgery centers and offices.

Essential functions:

  • Review insurance payments for accuracy and compliance with contract discounts
  • Review denials or partially paid claims and work with the involved parties to resolve the discrepancy
  • Communicate with health care provider and insurance claim representatives to facilitate timely payment
  • Provide excellent and professional customer service to internal and external customers
  • Function as a contributing team member while meeting deadlines and productivity and quality standards
  • Work with the team to achieve daily, weekly and monthly deadlines

Requirements:

  • One -Two years of previous claims and/or collections experience
  • One year current experience in medical field with related job functions
  • Ability to understand medical/surgical terminology
  • Knowledge of CPT and ICD-10 codes
  • Knowledge of Commercial Managed Care Insurance Contracts and Medicare and Medicaid
  • Ability to understand and research claims payments and EOBs
  • Experience in claim denials and adjustments
  • High school graduate or equivalent
  • Internet, email, MS Office and data entry skills required
  • Must have the skills necessary to operate the office equipment required to fulfill job duties
  • Good communication skills: written and verbal
  • Attention to detail and accuracy
  • Ability to interact with team members, management and customers

Job Type: Full-time

Pay: $18.00 – $20.00 per hour

Benefits:

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

Schedule:

  • Day shift
  • Monday to Friday

Experience:

  • Medical Collection: 1 year (Required)
  • Medical Billing: 1 year (Required)

Work Location:

  • One location

Work Remotely:

Source: Indeed.com
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