Job Description

Job Location: 1650 Republic Pkwy Ste 130, Mesquite, TX 75150 - Mesquite, TX 75150
Position Type: Full TimeEducation
Level: High School
Travel Percentage: None
Job Shift: Day
Job Category: Customer Service
A busy urology practice with eighteen locations spread throughout the Dallas metroplex is looking for a customer-focused office professional to perform collections, filing claims, handle appeals, and correspondence with Payers .

ESSENTIAL DUTIES OF THIS POSITION INCLUDE:
As an Collections Specialist, candidate will be responsible for the following summary of duties:
- Prioritize tasking and utilize tasking for daily work
- Follow up on all claims from billing through final resolution
- Correct and identify billing errors and resubmit claims to insurance carriers
- Review insurance EOB and initiate appeals and as necessary
- Respond to Payer’s request for additional information/documentation
- Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments)
- Answer incoming calls and assist insurance carriers with their requests
- Communicate patient responsibility with patient
- Collect on patient balances and/or establish payment plan
- Review weekly schedules for patients with upcoming appointments, contact patient and communicate to front desk arrangements made to collect balances
- Return mail (patient statements), contact patient to obtain correct billing address and/or payment
- Answer incoming calls and assist patients with their billing inquiries

QualificationsJob Requirements:
- High School Diploma
- Knowledge of CPT Coding, ICD10 and use of appropriate modifiers
- Experience working appeals and composing appeal letters
- Knowledge of bundling and global periods
- Experience working in Microsoft Word & Excel, & NextGen is a PLUS!
- Experience working Medical collections, both insurance and patient
- Urology and medical terminology
- Knowledge of insurance plans, claims, and billing processes
Job Type: Full-time