Location: Blue Bell,PA, USA
Seeking a Patient Collections Specialist working with a thriving health care company.
Duties:
***Accounts Receivable Management: Manage and prioritize accounts receivable
for insurance companies, government and independent/patient payers. Review
aging reports, identify delinquent accounts, and take appropriate actions to
collect outstanding balances.
***Billing and Coding Review: Review medical billing and coding documentation to
ensure accuracy and compliance with industry standards and regulations.
Identify discrepancies or coding errors that may have resulted in claim denials or
payment delays.
***Contract Compliance: Monitor payer adherence to contractual obligations and
escalate issues as needed. Provide insights and recommendations to optimize
contract performance and reimbursement rates.
***Claims Processing: Resubmit claims to insurance companies, government and
independent payers accurately and in a timely manner. Follow up on pending
claims, rejections, and denials to resolve issues and facilitate prompt payment.
***Payer Communication: Maintain positive relationships with patients, insurance
companies, and other stakeholders. Communicate with payer/patient regarding
their account balances, insurance coverage, and payment options. Aid and
guidance to patients in understanding their medical bills and resolving billing
inquiries or disputes.
***Insurance Verification: Confirm eligibility, coverage limitations, and any pre authorization requirements to prevent claim denials and billing discrepancies
arising from changes to patient carrier/plans.
***Compliance and Documentation: Ensure compliance with HIPAA regulations and
other healthcare privacy laws in handling patient information and billing records.
***Document all payment verification activities, including correspondence with
payers and internal stakeholders. Protects company value by keeping collection
information confidential
Qualifications:
3 years of prior patient collections experience
High school diploma or equivalent (associate's degree preferred).
Strong communication & organizational skills
Ability to handle constructive criticism
Show a desire to learn and work on a team
Prior experience in medical collections or related field.
Excellent communication skills, both written and verbal.
Strong empathy and patience when dealing with patients.
Ability to work collaboratively in a team environment.
Problem-solving mindset and adaptability.
APPLY NOW for immediate consideration.
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.