Medical Collector / Accts Receivable Specialist

Surgery Partners - Beverly Hills, CA

Full-time

Beverly Hills, CA

Ambulatory Health Care Services

About the position

The Medical Collector / Accounts Receivable Specialist plays a crucial role in the healthcare billing process, focusing on the management of insurance claims and denials. This position is responsible for ensuring that all aspects of medical billing are handled efficiently and effectively. The specialist will review billing information, assess debts, and follow up on unpaid insurance claims, which may include various types of insurance such as Medicare, PPO, and HMO. A significant part of the role involves contacting insurance companies to determine the status of outstanding bills and providing necessary correspondence to appeal any denials. In addition to managing claims, the Medical Collector will also engage with patients who have outstanding bills to establish repayment plans. This requires strong communication skills and the ability to provide detailed reports to management regarding the status of collections and appeals. The role demands a high level of organization, research skills, and the ability to prepare appeals effectively. The specialist must be detail-oriented and capable of handling frequent interruptions while re-evaluating priorities as needed. The position requires a proactive approach, with the specialist expected to take initiative and demonstrate resourcefulness in problem-solving. The ability to work harmoniously with various stakeholders, including center management, staff, patients, and physicians, is essential. The Medical Collector must also be adept at using medical practice billing software and possess a strong understanding of medical terminology. As the business evolves, additional responsibilities may be assigned, making adaptability a key trait for success in this role.

Responsibilities

• Review billing information, debt, and unpaid insurance claims.
• Contact insurance companies with outstanding bills to determine payment status.
• Provide correspondence and appeal denials, following up on appeals in process.
• Organize, research, and prepare appeals.
• Contact patients with outstanding bills to determine a repayment plan.
• Provide detailed reports to management.

Requirements

• High School Diploma or Equivalent
• 2 years of medical collections experience required
• Good verbal and written communication skills
• Knowledge of computers with experience in windows-based systems and Microsoft Office
• Experience with medical practice billing software necessary
• Proficient in medical terminology
• Ability to communicate effectively with center management, center staff, patients, their families, the physicians, and their staff
• Ability to handle frequent interruptions that result in having to re-evaluate priorities
• Detail oriented

Nice-to-haves

• Has initiative, resourcefulness, analytical ability, problem solving skills
• Experience in developing financial systems and procedures
• Ability to handle multiple projects in parallel with one another, including during deadline periods
• Effective appeal writing skills in collaboration with physicians for medical necessity
• Self-starter; able to work effectively with limited supervision
• Strong expertise with spreadsheets and accounting systems

Benefits

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match