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Medical Collection Specialist

Company: Business Integra Inc
Location: Houston
Posted on: November 26, 2022

Job Description:

*Location: *Houston, TX.

*Duration: *3 Months


*Education/Skills: * HS Diploma or equivalency required; Post HS education preferred


* Must have minimum of 3 years' experience in a Customer Service call enter environment with a focus on healthcare billing/collections or collection agency environment or 3 years' experience working in a client service or marketing capacity, preferably in a healthcare or collection agency environment.
* General hospital A/R accounts knowledge is required.
* PC skills in a Windows environment are required.
* Solid knowledge and utilization of desktop applications to include Word and Excel are essential.
* College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.


* Provides medical collection services for TLRA collection units.
* Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection.
* This involves performing collection activities related to follow-up and account resolution, and includes communication to patients, clients, reimbursement vendors, and other external entities while adhering to all client, state and federal guidelines.
* Patient and client satisfaction is essential.
* Associates in the collection unites are expected to knave knowledge of the overall collection work processes for the both active AR and BD inventory.

*Major Responsibilities*

* Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA's business objectives
* Documents and updates patient account information in TLRA's collection software system timely and accurately to include appropriate account status.
* Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues and request.
* Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
* Performs research and analysis of account issues and strives to resolve problems timely and accurately.
* Ensure daily productivity standards are met.
* Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
* Performs other special projects as required when assigned. Collections - Insurance
* Maintains active knowledge of all collection requirements by payors.
* Collects balance owing from third party payers in accordance with State and Federal laws governing collections practices.
* Ensures that collection efforts are thorough with overall objective being to collect outstanding balances in an ethical manner.
* Ensures quality standards are met and proper documentation regarding patient accounting records.
* Contacts other departments to obtain necessary information for appeals, pending information and any other issues that impact and/or delay claim processing.
* Collections - Self Pay
* Ensures that self-pay accounts are handled in a customer service oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.
* Responsible for assisting patients in identifying eligible means of financial assistance or if non apply working with the patient to make acceptable payment arrangements.
* Must be an effective team member with good communication skills.
* Must participate in team meetings, communicate work related ideas and concerns proactively and assist in finding appropriate resolutions.
* Physician Billing/Collections
* Ensure proper reimbursement for all services and to ensure all appeals are filed timely
* Review accounts and determine appropriate follow up activities utilizing Six Sigma Practices
* Identify under and overpayments and take appropriate actions to resolve accounts
* Validate commercial insurance claims to ensure the claims are paid according to the contract
* Direct knowledge using Meditech and CollectLogix software
* Monitor and communicate errors generated by other groups and evaluate for trends

Job Types: Contract, Temporary

Salary: $20.00 - $23.00 per hour

* 8 hour shift
* Monday to Friday

* Customer service: 3 years (Required)
* Insurance verification: 2 years (Required)
* Medical collection: 1 year (Required)

Work Location: One location%58047475%

Keywords: Business Integra Inc, Houston , Medical Collection Specialist, Other , Houston, Texas

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