AR Commercial Collections Specialist | PAM Health Plano

Full Time
Plano, TX 75024
Posted
Job description

Billing Representative/ Collections Specialist
The Billing Representative/ Collections Specialist is responsible for billing facility claims to Commercial and Medicare Payers, and third-party’s on a timely basis in accordance with CBO policies for facilities assigned. Responsibility for timely billing on all payers and timely follow up on Medicare claims. Performs other related duties as assigned or requested.
**This position qualifies for a monthly bonus in addition to hourly pay**
RESPONSIBILITIES
Claims Billing

  • Respond to Government payers by phone or correspondence concerning claims issues.
  • Assists with all calls, correspondence and concerns regarding Medicare claims with the FI’s.
  • Take action on bill review requests from the Collections Team in a timely manner.
  • Complete worklist daily and ensure all accounts are set for follow up.
  • Review unbilled accounts and ATB to ensure timely billing and collection.
  • Communicate all denials to the billing supervisor.
  • Aggressively work aged accounts to expedite cash, reduce bad debt and A/R days.
  • Meets corporate goals monthly on billing and collections.
  • Works with others as a team player, as well as the hospital/clinic staff.
  • Investigates COB issues and communicates with appropriate staff members for resolution.
  • Responsible for obtaining medical records required for certain commercial claims.
  • Ensure all prebilling tasks are completed and correct information is sent out on claims.

QUALIFICATIONS
Education and Training: High School diploma required; one to two years of college preferred.
Experience: 6 months or more of hospital business office experience. 6 months or more of Medicare knowledge and experience of their billing rules. LTACH experience preferred.
Knowledge, Skills, and Abilities:

  • Overall knowledge of business procedures.
  • General knowledge of third payers, and billing procedures and guidelines.
  • Experience with automated patient accounting systems and automated billing and collection system.
  • Type 50 wpm.
  • Operate personal computer, 10-key.
  • Excellent telephone and customer service skills.

ABOUT US
PAM Health is committed to being the most trusted source for post-acute services in every community it serves by utilizing experienced and dedicated staff to provide high quality patient care and customer service. With over 44 Long Term Acute Care and Rehabilitation hospitals and 16 Outpatient Clinics currently in operation across the country, we are proud to offer services including comprehensive wound care, aquatic therapy, ventilator weaning, amputation treatment, pain management and much more.
Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program.
We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.postacutemedical.com for a comprehensive look at how we're able to positively impact our local communities.
PAM Health_ does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status._

Job Type: Full-time

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