Medical Collector - Houston, United States - BioCure, LLC

Description

Job Description


Position:
Medical Collector


Department:
AIS Operations


Objective
The Medical Collector is responsible for all collection procedures.


Reporting Relationship
Director of Reimbursement


Scope of Supervision
N/A


Responsibilities

• Responsible for collecting the correct payment amount on outstanding accounts.
• Communicate with carriers, payers, clients and facilities to get the maximum payment on accounts.
• Research, identify and resolve incorrectly processed claims.
• Achieve a complete resolution on denials, underpaid or refund requested accounts.
• Correctly respond to all health care correspondence within 72 hours.
• Correctly and timely appeal under and unpaid claims.
• Submit appeals, claim corrections and reconsiderations.
• Correctly bill out all infusion claims within 48 hours of date of submission.
• Responsible for correcting claims within 48 hours of notice.
• Assist with patient benefits and prior authorizations as needed.
• Report any misconduct, suspicious or unethical activities to the Compliance Officer.
• Participate in surveys conducted by authorized inspection agencies.
• Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
• Participate in pharmacy committees when requested.
• Participate in inservice education programs provided by the pharmacy.
• Perform other duties as assigned by supervisor.

Minimum Qualifications

• High School Diploma.
• Associate's degree in related field or equivalent combination of education and experience.
• Three years of inn/out of network pharmaceutical medical billing and appeal experience.
• Insurance billing reimbursement and medical business office experience.
• Ability to evaluate options and to make efficient decisions.
• Organizational skills sufficient to maintain consistently accurate records.

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Physical Requirements

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions in this job description
:The employee is regularly required to stand, walk, and sit, as well as talk and hear.

• The employee is required to use hands to operate office equipment.
• The employee must occasionally lift and/or move up to 20 pounds.
• Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus.

Pay:
$ $25.00 per hour

Expected hours: 40 per week


Benefits:

• 401(k)
• 401(k)

matching

• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

- insurance billing reimbursement: 3 years (required)
- inn/out of network pharmaceutical: 3 years (required)


Ability to Relocate:

• Houston, TX 77074: Relocate before starting work (required)

Work Location:
Hybrid remote in Houston, TX 77074