CareersUSA, a leader in the staffing industry with over 28 years of experience, has another job opportunity for you!

We are seeking a Medical Collections Representative!

Job Description:

• Ensure electronic and/or hard copy claims are accepted by payor on a weekly basis, as evidenced by accepted/rejected reports.
• Resubmit adjusted claims to respective payers when reimbursement is affected according to the payor timeliness guideline, as evidence by documentation.
• Ensure accuracy of claims prior to submission of claims submitted non-electronically.
• Submit accurate claims to the secondary payor no later than three days from receipt of the remittance advice.
• Follow-up with respective payers on improperly processed or unpaid claims.
• Post Payments.
• Verify accounts and pre-certs.
• Review accounts receivable reports as assigned and follow up with insurance company when payment is not received in a timely manner according to contractual agreements.
• Provide coverage in non-related billing areas: receptionist, filing area, data entry, and cash application.
• Worker's Comp and Motor Vehicle knowledge of claim processing.

Requirements:

• High school graduate or GED equivalent.
• 2+ years collections experience required.
• Some medical terminology preferred.
• Pleasant personality for handling telephone and patient contact.
• Experience with worker's comp and motor vehicle knowledge strongly preferred.