Medical Collections Specialist

Description

Medical collector is responsible for managing tasks related to rejected, denied, and outstanding insurance claims, ensuring accuracy and efficiency throughout the billing process. This includes addressing issues such as missing or incomplete documentation, delays in claim processing, and credentialing concerns. This role requires thorough research, timely communication, and proactive problem-solving.

• Complete accounts receivable collections and follow-ups to expedite insurance payments for assigned claims.

• Contact insurance companies via phone, mail, or clearinghouse correspondence to address account inquiries and update information.

• Communicate claim issues related to patient benefits to the verification team and field staff for resolution.

• Proactively collaborate with third-party payers to resolve claims processing issues, improve communication, and stay updated on changes to plan requirements.

• Assist in streamlining policies and procedures for more effective and efficient operations of third-party carriers, providing updates to the Billing Supervisor as needed.

• Prepare and assist with monthly reports, focusing on key indicators, payer issues, and unit performance, with a goal to improve metrics such as DSO (Days Sales Outstanding).

• Process appeals by gathering required documentation, resubmitting claims, and following up promptly to track resolution.

• Maintain compliance with HIPAA and CMS guidelines in all interactions and documentation.

Experience

• 3+ years of medical collections experience (insurance collections, not self-pay)

• Experience within Microsoft Office Suite - Specifically Teams and Outlook

• Experience with Managed Care Plans

• Extensive experience with denials and appeals

Hours

• Mon-Fri 8:00am-4:30pm - position will be hybrid once trained

Pay and Benefits

The pay range for this position is $20.50 - $27.30

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision- Critical Illness, Accident, and Hospital- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available- Life Insurance (Voluntary Life & AD&D for the employee and dependents)- Short and long-term disability- Health Spending Account (HSA)- Transportation benefits- Employee Assistance Program- Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Brentwood,MO.

Application Deadline

This position will be accepting applications until Jan 11, 2025.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.