Accounts Receivable Collection Specialist

$45,760 - $56,160/Yr

Mycare Medical Group - Lutz, FL

Full-time - Senior

Lutz, FL

Ambulatory Health Care Services

About the position

The Accounts Receivable Collection Specialist at MyCare Medical Group is responsible for processing medical billing claims, collecting payments from patients or providers, and resolving account-related inquiries. This role involves ensuring timely billing, maintaining accurate records, and communicating with various stakeholders to facilitate the payment process.

Responsibilities

• Generate timely billing of assigned payers
• Ensure claims are received and processed by payers
• Review A/R balances to ensure timely and accurate payments are received
• Maintain current and accurate computer data including documentation of all account activity performed in A/R systems
• Bill all co-insurance accounts per payer specific guidelines
• Complete cash logs as required
• Review and understand correspondence received from third party payers including remittance advices, Explanation of Benefits, denial letters, etc.
• Receive payment denials and investigate the reason and rectify the situation with the payer or patient
• Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts
• Provide written correspondence to audit requests including investigation and obtaining of appropriate documentation to be attached to response
• Document status of billing and payment process in patient account for future follow-up
• Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer
• Answer and follow up on calls from patients with billing questions
• Complete all end of month reports as requested, directed or assigned
• Complete all internal system service ticket requests as assigned
• Work on miscellaneous projects and tasks as needed

Requirements

• Minimum of five (5) years medical insurance/healthcare billing and collections experience
• Deep understanding of medical billing rules and regulations
• Thorough understanding of medical billing, collections and payment posting, revenue cycle, third-party payers, Medicare; Medicare Advantage
• Strong knowledge of state and Federal payer regulations
• Minimum five years of direct supervision of 12 or more staff
• Well versed in CPT and ICD10 codes and procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes
• Strong leadership, team development and business skills
• Solid understanding of billing software and electronic medical records (EMR)

Nice-to-haves

• Certified Coder

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401(k)
• Flexible spending account
• Paid time off
• Employee assistance program