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Insurance Medical Collector | Medical Biller in Clerical Job at ITF Intrafusion Holding in Houston1

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Insurance Medical Collector

Houston, TX

* POSITION SUMMARY Help practices around the country continue to provide quality care to patients by ensuring they receive payment from medical insurance companies for all outstanding professional medical insurance claims. The Tier 2, Insurance Medical Collector, performs collection activities on simple and complex infusion drug denials and outstanding insurance balances. CRITICAL FUNCTIONS AND DUTIES + Responsible for resolving and collecting on aged insurance claims on behalf of client sites + Contact insurance carriers by phone and/or payer web sites to ensure payment is received, through customer collection activities, including but, not limited to, claim status updates, resubmission of claims, underpayment requests, submitting appeals, etc. + Perform and document actions that will lead to payment in a clear, concise and actionable follow-up notes in system for each account worked. + Identify, analyze and escalate trends impacting AR collections + Meets and/or exceeds established daily collections and productivity goals + Required to correspond with patients, insurance companies, other departments and physician offices. + Some seasonal activities may be assigned to help improve collection activities Min Qualifications + 1 or more years of insurance medical collections background. + Work experience resolving insurance denials, appeals and complex payment resolution Essential skills + 2yrs of insurance medical collections background desired + 1 or more years of appealing infusion drugs a plus General Knowledge/Skills + Must possess effective verbal and written correspondence abilities + Knowledge of Windows based operating systems + Proficient in Microsoft office suite (Ms word, Ms excel, Outlook, PowerPoint) + Expertise to make quick sound decisions + Effective organization and time organizational skills with the expertise to work under pressure and adhere to project deadlines + Expertise to work unaided as well as in a team environment + Expertise to adapt to new situations and learn quickly Specialized Knowledge/Skills + Expertise to understand what is required to receive payment on a given claim and take the actions necessary to receive that payment. + Knowledge of insurance carrier claims, payment policies, timely filing and appeal deadline qualifications. + Ensures compliance with HIPAA and all other regulatory rules and regulations. + Working understanding of HCPCS, CPT and ICD ten coding plus modifiers. + Must be able to read and translate EOB’s and payer correspondences + Consistently demonstrate McKesson’s iLead and iCare principles Education High-school diploma or equivalent Certifications Industry certifications and designation, such as, CPT, MA, not required but, preferred but, not required Physical demands General Office Demands McKesson is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to Resumes or CVs submitted to this email box will not be accepted.Current employees must apply through internal career site.Join us at McKesson!
ITF Intrafusion Holding
March 12 on Equest
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More About this Listing: Insurance Medical Collector
Insurance Medical Collector is a Clerical Medical Biller Job at ITF Intrafusion Holding located in Houston TX. Find other listings like Insurance Medical Collector by searching Oodle for Clerical Medical Biller Jobs.