medical collections representative

Surgery Ventures

<div>Do you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We have an exciting opportunity for you to join Surgery Ventures at our Jacksonville Central Billing Office which is part of the nation's leading provider of healthcare services, HCA Healthcare.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
As the Medical Insurance Collections Specialist, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
What you will do in this role:<ul><li>
You will perform follow up activities on accounts to ensure prompt payment</li><li>
You will identify coding or billing errors from EOBs and work to correct them</li><li>
You will monitor insurance claims and contact insurance companies to resolve claims
</li><li>You will update the patient account record to identify actions taken</li><li>
You will assign bad debt accounts to the collection agency
</li><li>You will act as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid)</li><li>
You will complete account reconciliation of accounts turned over to outside agencies</li><li>
You will negotiate payment plans on self-pay accounts
</li><li>You are responsible for maintaining accounts receivable and creating a reduction in bad debt
</li></ul>Qualifications you will need:<ul><li>
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office, CBO) preferred</li><li>
Knowledge of managed care payers and medical terminology is preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
Surgery Ventures offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses
&quot;Bricks and mortar do not make a hospital. People do.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Representative opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Medical Insurance Claims Representative

Texas Health Resources

<div><div>Patient Account Representative II
Fast-paced, high-volume clinic looking for a top skilled Patient Account Rep II
Work location: 500 East Border Street Arlington, Texas 76010
Work environment: Remote Position: Contact Center &ndash; onsite training may be required
Work hours: Full-time, 40 hours weekly; Monday thru Friday, (8am - 430pm)
<div>Department Highlights:</div><ul><li> Monthly Bonuses</li><li> Remote Work with flexible schedule</li><li> Positive Team Environment
</li></ul></div><div>Here&rsquo;s What You Need:<ul><li> High School Diploma or equivalent (REQUIRED)</li><li> Two years of related experience (REQUIRED)</li><li> Hospital Collections / Denials Management experience (STRONGLY PREFERRED)</li></ul>
<ul><li>Insurance Collection experience is (Strongly Preferred)</li></ul>
What You Will Do:<ul><li> Verify validity of account balances by researching, reviewing and ensuring accuracy of payment and adjustment posting.</li><li> Contact payors, networks, patients, employers and other responsible parties to acquire timely and accurate/expected payment on assigned Accounts Receivable inventory.</li><li> Take necessary steps needed to acquire and provide information needed for claims that have a zero payment</li><li> Process rebills and other system actions, as needed</li><li> Understand and apply appropriate system discounts</li></ul>
<div>Additional perks of being a Texas Health employee:</div><ul><li> Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.</li><li> Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.</li><li> Strong Unit Based Council (UBC).</li><li> A supportive, team environment with outstanding opportunities for growth.</li></ul><div>
</div>Entity Highlights:
At Texas Health Resources, our mission is &ldquo;to improve the health of the people in the communities we serve.&rdquo; We are one of the largest faith-based, nonprofit health systems in the United States with a team of more than 23,000 employees of wholly owned/operated facilities plus 2.200 employees of consolidated joint ventures in the greater Dallas/Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding.
Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we&rsquo;ve won and more.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.
#LI-RE1</div></div>

Patient Account Representative II - Collections - FullTime, Days

Wells Fargo

<div>At Wells Fargo, we are looking for talented people who will put our customers at the center of everything we do. It all begins with outstanding talent. It all begins with you.
About this role:
Wells Fargo is seeking a Commercial Collections Representative as part of the Commercial Banking Operations Division. Learn more about the career areas and lines of business at wellsfargojobs.com 
In this role, you will:<ul><li>
Support, review, and negotiate a medium to high-risk portfolio consisting of more complex delinquent loans of high-level collateralized accounts which require special handling and research</li><li>
Research credit and account information, handle workout and restructuring problem loans and restructuring payment plans</li><li>
Review account equity to determine loss projections</li><li>
Monitor portfolio for policy compliance and adherence to risk ratings</li><li>
Assist in the training of entry level staff</li><li>
Participate in conducting issue specific training in conjunction with Manager</li><li>
Utilize a high degree of knowledge and understanding of company policies and procedures and execute without issue</li><li>
Lead by example, handle core assignments effectively while taking on additional responsibilities</li><li>
Collaborate and consult with peers, colleagues, and managers to resolve issues and achieve goals</li><li>
Interact with internal customers</li><li>
Receive direction from leaders</li><li>
Exercise independent judgment while developing the knowledge to understand function, policies, procedures, and compliance requirements</li></ul> 
Required Qualifications:<ul><li>
2+ years of Commercial Collections experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education</li></ul> 
Desired Qualifications:<ul><li>
Collections experience</li><li>
A BS/BA degree in accounting, finance, or economics</li><li>
Accounting experience, accounts receivable or accounts payable</li><li>
Customer service/Customer Care experience</li><li>
Excellent verbal, written, and interpersonal communication skills</li><li>
Ability to provide strong customer service while actively listening and responding in an appropriate manner</li><li>
Excellent critical thinking and problem-solving skills, as well as the ability to embrace and adapt to change</li><li>
Sound analytical skills with high attention to detail and accuracy</li><li>
Experience delivering results in a fast-paced, deadline driven environment</li><li>
Sound organizational, multi-tasking, and prioritizing skills</li><li>
Intermediate Microsoft Office skills (Word, Excel and Outlook)</li><li>
Ability to navigate multiple computer systems, applications, and utilize search tools to find information</li><li>
Artiva experience</li><li>
Infolease experience</li><li>
Intermediate Microsoft Office (Word, Excel, and Outlook) skills</li><li>
Ability to work effectively, as well as independently, in a team environment</li></ul>
Job Expectations:<ul><li>
Ability to work a hybrid schedule, at least 3 days a week working in office</li><li>
Relocation assistance is not available for this position.</li><li>
Visa Sponsorship not available for this position</li></ul>
Posting Location:<ul><li>
2800 S Price Rd, Chandler, AZ 85286</li></ul>
#CommercialBanking</div>

Commercial Collections Representative

Kelsey-Seybold Clinic

<div>Job ID: 2349200 
Job Type: Full-time 
Location: Pearland, TX 77581

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation&rsquo;s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. 


Primary Responsibilities:
<ul>
<li>Responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans</li>
<li>Assists in notifying patients who have previous balances of their financial responsibility and helping them understand their payment options</li>
<li>Other duties include performing financial collection functions, (e.g., account analysis, extended payment arrangements)</li>
<li>Maintains effective communication and professional interaction with patients and fellow co-workers</li>
<li>Conducts duties in accordance with industry standards and in compliance with department policy &amp; procedures</li>
<li>Must be able to meet Central Business Office standards for established production and quality standards</li></ul> 


You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
<ul>
<li>High School diploma</li>
<li>3+ years of healthcare collections experience (both self-pay and insurance) with guarantor account follow-up, successful appeals outcomes and the ability to interpret plan benefits/payment methodology by primary and secondary health plans.</li>
<li>Demonstrated basic PC literacy. Alpha/Num Forms Entry. Medical Terminology, CPT &amp; ICD coding experience. Use of physician billing systems and interpretation of Explanation of Benefits (EOB&rsquo;s)</li>
<li>Proven knowledge of healthcare insurance to include diversified understanding of rules and regulations of Commercial Insurance with appeals experience (claims denials)</li>
<li>Demonstrated analytical skills to include interpretation of guarantor account balances with problem resolution. Excellent telephone etiquette with demonstrated capability to meet with patients one-on-one and explain payment methodology by the insurance carrier</li>
<li>Ability to work independently and display teamwork qualities among peers and other department personnel.</li></ul> 


Preferred Qualifications:
<ul>
<li>1-year college, successful completion of Medical Billing &amp; Coding class</li>
<li>Certified/Licensed Medical Billing</li>
<li>1+ years of KSC Epic practice management system experience</li>
<li>Proficiency in Microsoft Word and Excel</li>
<li>Ability to handle a variety of tasks with speed and attention to detail</li></ul> 


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you&rsquo;ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes &ndash; an enterprise priority reflected in our mission. 


OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Collections Representative – Kelsey Seybold

ScionHealth

<div>Description 
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
The Patient Account Representative I performs a variety of revenue cycle activities including billing, collections, cash posting, and customer service in support of hospital and physician accounts. This position ensures accurate and timely financial documentation and reimbursement through effective communication with patients, insurance companies, and other stakeholders. The representative maintains compliance with all regulations including HIPAA, and adheres to organizational policies and procedures.
Essential Functions<ul><li>
Accurately and efficiently processes patient accounts, including billing, collections, and payment posting.</li><li>
Responds to and resolves inquiries from patients, insurance carriers, and internal departments.</li><li>
Prepares and submits claims using billing systems; works claim edits and rejections.</li><li>
Follows up on unpaid accounts and performs collections activities as appropriate.</li><li>
Researches and applies unidentified payments.</li><li>
Balances daily cash posting and reconciles discrepancies.</li><li>
Files appeals and reconsideration requests as per department protocol.</li><li>
Identifies and reports overpayments; ensures appropriate refunds.</li><li>
Participates in A/R clean-up projects and other revenue cycle initiatives.</li><li>
Maintains productivity and quality standards while managing daily work queues.</li><li>
Demonstrates ownership and accountability in completing assignments.</li></ul>
Knowledge/Skills/Abilities/Expectations<ul><li>
Ability to communicate effectively, both verbally and in writing.</li><li>
Ability to work independently with minimal supervision.</li><li>
Strong customer service and interpersonal skills.</li><li>
Basic general accounting and bookkeeping knowledge.</li><li>
Knowledge of medical billing practices and medical terminology.</li><li>
Proficient in Microsoft Excel, Word, Outlook, and experience with systems such as Epic and SSI (preferred).</li><li>
Operates 10-key pad efficiently (for cash posting roles).</li><li>
Demonstrates flexibility and teamwork across all business office functions.</li></ul> 

Qualifications 
Education<ul><li>
High School Diploma or GED Equivalent</li></ul>
Licenses/Certifications<ul><li>
Relevant licensure and practices obtained within timeframe required by facility policy</li></ul>
Experience<ul><li>
1&ndash;2 years previous hospital and/or physician business office experience preferred</li></ul></div>

Patient Account Rep I (Remote)

UPMC

<div><div>Purpose: 
The Account Representative, Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies, patients and physicians regarding payment issues; establish reasonable payment arrangements; recommend adjustments according to UPMC policies; review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts; identify and assign appropriate status codes; and review high dollar accounts on a regular basis. The Account Representative, Senior is expected to identify recurring problems and procedural deficiencies that need to be reported to management and to serve as a key mentor to staff for training and procedural direction. 
 
Responsibilities: 
<ul><li>Perform duties and job responsibilities in a fashion which coincides with the service management philosophy of UPMC Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians and other departments within the organization.</li><li>
Ability to work multiple payers</li><li>
Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.</li><li>
Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.</li><li>
Managed assigned book of business by ensuring the timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards.</li><li>
Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt.</li><li>
Understand third party billing and collection guidelines</li><li>
Demonstrate knowledge of the current functionality of the patient accounting systems.</li><li>
Identify issues and submit corrective action recommendations.</li><li>
Ability to work independently with minimal supervision</li><li>
Meet quality assurance benchmark standards and maintain productivity levels as defined by management.</li></ul></div><div><ul><li>
Must have 1 year of claims/billing/collections experience; OR 4 years in a business office setting; OR a Bachelors Degree; OR an equivalent combination of education and experience.
</li><li>Excellent interpersonal, organizational, communication and effective problem solving skills are necessary.
</li><li>Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence.
</li><li>Prior working experience on personal computers, electronic calculators and office equipment is needed.
</li><li>Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers.
</li><li>Prior collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
</li><li>Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.
</li><li>This position requires organization and time management skills.
</li><li>The incumbent must develop and manage relationships with colleagues in a professional, independent manner.
</li>The position requires the ability to maintain confidentiality with regard to all assignments. 
<li>
</li></ul>Licensure, Certifications, and Clearances:
ACT 34 
<ul><li>
</li></ul>UPMC is an Equal Opportunity Employer/Disability/Veteran</div></div>

Account Representative Senior

Tucson Medical Center

<div><div>Customer Service: In a high call volume setting, performs self-pay collections which include complex review of billing and collections activities. Resolves and researches any potential coverage to ensure timely and accurate payment. Has a complete understanding of all options to resolve the balances. Processes payments, sets up payment arrangements, and offers financial assistance to patients who are experiencing financial difficulty. Evaluates accounts and determines payment dates based on patient&rsquo;s ability to pay and hospital policies. Must exhibit strong knowledge of fair debt collections. Explains charges, services, and hospital privacy regarding payment of bills. Provides technical assistance to set up MyChart access, and answers inquiries submitted through MyChart. Works assigned work queues in a timely manner.
ESSENTIAL FUNCTIONS:<ul><li>
Assists management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows.</li><li>
Ensures UB04 and HCFA 1500 claims and/or self-pay patient accounts are billed in a timely, complete, and accurate manner in accordance with appropriate guidelines.</li><li>
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.</li><li>
Demonstrates understanding of the entire revenue cycle.</li><li>
Provides routine daily internal and external interface with unit/department management and staff, other service areas, information systems, physicians, physicians&rsquo; office staff, patients, software/hardware vendors, and third-party payers in order to resolve patient concerns, disputes, and billing audits in order to receive payment.</li><li>
Assists with problem solving, inquiries, and customer interaction to ensure positive results.</li><li>
Researches and analyzes any correspondence received related to assigned accounts.</li><li>
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.</li><li>
Analyzes patient accounts, determines non-collectable accounts, and recommends bad debt or charity write-offs when applicable; analyzes and processes contractual write offs.</li><li>
Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.</li><li>
Performs related duties as assigned.</li></ul><h5 class="jobSectionHeader"> 
MINIMUM QUALIFICATIONS</h5>
EDUCATION: High School diploma or General Education Degree (GED) required.
EXPERIENCE: One (1) year of related experience such as medical billing or third-party collection, or customer service in a hospital, payer, or physician setting. Technical experience in CMS/Medicaid regulations and/or commercial payer billing requirements. Minimum one (1) years&rsquo; experience in a windows environment, including Excel.
LICENSURE OR CERTIFICATION: None required.
KNOWLEDGE, SKILLS, AND ABILITIES:<ul><li> Knowledge of medical insurance practices and policies and regulations.</li><li> Knowledge of HMO, PPO, and Indemnity third party billing guidelines (Third-Party Billing and Collections only).</li><li> Knowledge of either UB04 hospital or CMS physician billing forms (Third-Party Billing and Collections only).</li><li> Knowledge of government and non-government uniform billing guidelines (Third Party Billing only).</li><li> Knowledge of medical terminology and coding Related to hospital billing and/or professional billing such as revenue, CPT diagnosis codes, modifiers, occurrence codes, value codes, and the appropriate usage of these codes.</li><li> Skill in evaluating bills/claims for payers or patients in order to collect payment in a timely manner.</li><li> Skill in providing assistance or training to other staff members in a team environment.</li><li> Skill in the use of computer applications and systems including: Excel, Word, Internet, email, and miscellaneous programs and networked computer systems.</li><li> Ability to read and comprehend instructions, short correspondence, and memos.</li><li> Ability to write correspondence; ability to effectively present information in one-on-one and small groups situations to customers, clients, and other employees of the organization.</li><li> Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations.</li><li> Ability to effectively present information and respond to inquiries or complaints from payers, patients and/or their representatives.</li><li> Ability to demonstrate familiarity of the components of a medical chart in order to supply appropriate chart documentation to various payers as required (Third Party Billing and Collections only).</li><li> Ability to identify any trends related to their assigned payer in order to escalate to management or provider representative (Third-Party Billing and Collection only).</li><li> Ability to read and interpret payer explanations of benefit documents (Third-Party Billing and Collections only).</li><li> Strong analytical and critical thinking abilities in order to make sound decisions.</li><li> Ability to demonstrate compliance with all state and federal regulations for managed care and third party payers (Third-Party Billing and Collections only).</li></ul></div></div>

PFS Representative I

Search 10000+ Medical collections representative jobs near you this March. New roles added regularly across leading industries. Apply today.