Seeking a Collections Representative to join a healthcare organization in the Weatherford, TX area.
This is a 26-week contract position with a flexible start time between 6-9am. This role allows for hybrid schedule, coming into office as needed / required. This employee must reside in the DWF, TX area. The hourly pay rate is ideally between $21-22 / hour.
General Job Summary :
- The successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections.
- Capable of reviewing Explanation of Benefits from payors to determine how the claims were managed.
- Contacting insurance carriers to check on the status of claims, appeals, and insurance verification.
- Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid
- Preparing / Submitting appeals related to denied services
Essential Functions :
Analyze payer denials by denial groupers and submit appeals.Contact patients and / or third-party payers to resolve outstanding insurance balances and underpaid claims.Make necessary adjustments as required by plan reimbursement.Functions as a liaison between clinical departments and MSRDP management team.Completes special projects as assigned.Qualifications :
High school diploma required. AA / Bachelor’s degree preferred.At least 2 years of experience in medical claims recovery and / or collections required.