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Remote Medical Insurance Collector!

Location: Plano
Posted on: November 22, 2021

Job Description:

Reimbursement Representative files insurance and collects on accounts assigned in a timely and accurate manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
+ Reviews EOB/EOMB's for proper reimbursement.
+ Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
+ Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
+ Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed.
+ Provides insurance carriers with requested information to facilitate payment.
+ Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits.
+ Performs claim appeals as required; must be able to write their own appeal letters using prompt pay guidelines to argue/support the appeal.
+ Assists with credit balance resolution.
+ Completes re-bill request as necessary to facilitate timely and proper claims payment.
+ Follows up on unresolved account balances including RTP's.
+ Prepares adjustment and write-off requests as necessary.
+ Researching problems with out of network collections.
**Top Skills:**
+ Medical collections
+ Appeals and denials
+ Commercial insurance
+ Medicare
+ Claims research
**Additional Skills & Qualifications:**
High School diploma or GED required.
No less than two years of experience in health/medical collections.
Heavy experience with out-of-network claims and appeals is desired.
Must have analytical skills.
Strong knowledge/experience using Microsoft Excel
**About Aerotek:**
We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.#LI-Remote
Associated topics: cbo, collector, desk, front, front desk, hospital transcriptionist, medical biller, medical coding, medical transcriptionist, review

Keywords:, Plano , Remote Medical Insurance Collector!, Healthcare , Plano, Texas

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