Location: Houston,TX, USA
Overview:
The Medical Insurance Collector is required to perform collection activities on complex denials and prepare appeals and other necessary actions on outstanding balances for BCBS, UHC, Aetna/Cigna and self-funded/commercial providers in the professional/facility fee environment.
Job Duties:
- Investigates, and responds to inquiries from payors
- Research errors and make necessary corrections for clean claim production and submission
- Follow up on accounts to ensure timely filing and prompt payment
- Actively review billing/collection policy changes for assigned payers
- Follow up on payment errors, review posting, and calculate allowable amounts before approving patient statements
- Review Insurance EOB and initiate appeals as necessary
Qualifications:
1. Minimum 2 years of Medical Collections experience
2. Strong knowledge of commercial insurance providers (e.g., BCBS, UHC, Aetna/Cigna) and self-funded providers
3. Knowledge of EOB's, HIPAA, ICD-10 codes, and CPT codes