Las Vegas, Nevada
Medical Billing & Collections Specialist Job Opening in Las Vegas, Nevada - We have an exciting opportunity available with a well-established company within the booming Healthcare industry. This office is located in Las Vegas, NV and requires the Medical Insurance Collector to be responsible for the timely follow up and reimbursement of claims filed by the Insurance Billing Department. The Medical Collector will have oversight of the accounts receivable, and be responsible for maintaining detailed and accurate account documentation, in addition to escalating payer issues if need be to ensure timely reimbursement of all medical claims. Please see below, additional information and requirements on this
Requirements
Minimum 2yrs within - Medical Collections
Previous track record of high collection returns on a monthly basis
Ability to multi-task and work under pressure with a strong sense of urgency
Actively follow up and collect on all paper and electronic claims, including resolution of any billing errors assigned following established procedures.
Work with adjusters, insurance companies and attorneys to resolve claims
Respond to correspondence from insurance carriers or defense attorneys to facilitate payment.
Follow-up on unpaid/underpaid claims.
Creating appeals ensuring that all appeals processes are followed to obtaining full reimbursement
Escalation of payer issues to management at various payers
Preparation of files for hearings and exhibits for lien trials
Maintain a workflow of 50-100 accounts to handle to conclusion
Perform structured reviews of accounts on a monthly basis
Perform any other tasks assigned by management
MUST be proficient with MediCal, MediCaid and or Private insurance
Ability to surpass the Pre-Employment E-Verify Criminal Background Check & Drug Screen
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
Medical Collections: 2 years
Medical Billing: 2 years
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