Medical Collections Specialist

RJ Byrd is searching for a Medical Collections Specialist to assist our client in North Dallas.  This client is seeking someone who is experienced in processing insurance claims and payments. The ideal candidate will be willing to work in a team environment and have 1 year experience in health-related field. 

  • Manage insurance claim collections, follow-ups, and appeals
  • Responsible for timely processing of our insurance carriers’ payments
  • Ensure all insurance claims are submitted, on time, to payers 
  • Confirm documentation needed for claim payment is attached and sent to payer via EA
  • Review insurance EOBs to ensure all procedures are paid correctly and on time
  • Enter adjustments for non-appealable denials to maintain clean ledgers
  • Follow-up and appeal unpaid or underpaid procedures, if needed
  • Identify issues and trends with your assigned payer, provide suggestions for resolution
  • Work aging report to ensure all claims are paid

QUALIFICATIONS

  • 1 Year experience in health care or related field
  • Ability to work in a friendly and supporting team environment
  • Willingness to adapt to change in direction as priorities change
  • Good communication and problem-solving skills
  • Ability to multi-task using good time management and organization skills 
  • 100% in office