Collection specialist Jobs in Houston, TX

We have a dynamic opportunity for an experienced AR Collection Specialist to join our team.

Our ideal candidate will be responsible for maintaining industry standards for the A / R they are assigned to for all carriers regarding aging, collection rates, appeals, rejections and claims with no activity. To be successful in this role, the candidate must be highly motivated, detailed, and self-driven individual with excellent organization skills. This position is a full-time, on-site position located in Houston, Texas for National company providing remote cardiac monitoring.

Job Responsibilities :

• Responsible for lowering A / R over 90 days to acceptable standards.
• Responsible for timely follow-up with internal and external customers as well as third-party payers.
• Supports and adheres to all policies and procedures.
• Appeal claims as needed and request records for appeals process.
• Monitor payer rejects and denials to determine systemic or data entry issues and report irregularities to management.
• Post contractual adjustments and transfer deductibles to patient accounts based on correspondence from the insurance carriers.
• Assist with claim resubmission projects when necessary.
• Work with supervisors to streamline billing procedures based on denial types.
• Review accounts that have partial or under payments
• Handle correspondence from insurance companies including denials, information requests or refund requests.
• Handle incoming calls from patients and insurance companies regarding claims and patient balances.
• Review accounts to determine if billed correctly.
• Cross train with billing specialist on data entry of patient information and charges and provide back-up as needed.
• Supports and adheres to all policies and procedures.
• Performs other related duties as assigned or described in Company policy.

Qualifications