Physician Collections Representative

Description This function is responsible for insurance premium collections. Positions in this function contact insurance companies and patients to determine reason for payment delinquency. Negotiate and advise on collection of overdue bills and take appropriate action to recover overdue payments.
We are seeking an organized, conscientious, resourceful and energetic medical billing and collections superstar! The successful candidate will be very professional and knowledgeable about medical billing and collections processes and regulations, have worked in electronic claims processing and directly with patients, be able to show prior success in medical collections. Job responsibilities include posting surgical claims, verifying insurance coverage for surgical procedures, direct patient contact to collect money or secure payment arrangements, work collaboratively with insurance companies to correct claims, refile denials and collect accounts.

Requirements Requirements and Qualifications:

-Must have experience in the revenue cycle: A/R, collections, verify insurance, collections, claims processing, etc.
- Perform Collections and follow up on unpaid physician and surgical account balances on AR report via web, phone and spreadsheet.
- Log and follow up on duplicate denial correspondence.
- Maintain high standards of performance and integrity in a fast paced, team environment
- Ability to apply payments received from insurance carriers against outstanding claims
- Ability to audit claims including recognition of missing modifiers and inadequate medical notes.
- Ability to prioritize and multi-task
- Knowledge of medical billing guidelines
- Knowledge of ICD-9 and CPT -4 coding
- Excellent communication skills required
- Good computer skills and proficiency with Excel
- 100% positive attitude
-Must have experience with high volume of inbound and outbound phone calls
-Accuracy is extremely important Training provided on billing software system
-Must have solid Windows, Word and Excel software experience Experience with Medical billing software preferred
-Must not have more than one absence in first 45 business days
-Government experience is a big plus (medicare/medicaid)
-Strong Analytical skills Must be outgoing and extroverted
-Potentially dealing with Multiple clinics in multiple states

1-2 years of experience required; 2-3 years of experience preferred in the following areas: Insurance Verification,Claims Processing, and Medical Collections.Only candidates with strong medical collections and insurance follow up will be considered.

Qualified candidates must submit resume with salary requirements [Click Here to Email Your Resumé]; salary requirements must be provided in order to be considered for this position.