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Medicare / Medicaid Collections Specialist
The Medicare/Medicaid Collections Specialist works as a member of the Billing Department and has the primary responsibility of handling collections of primary, secondary and tertiary insurance receivables. The Collections Specialist is responsible for handling appeals for denials and short pays for primary insurance as well as generating claims for secondary and tertiary insurance. Most of the insurance claims are for Medicare and Medicaid beneficiaries requiring specialized knowledge of claim filing and appeal filing deadlines. Some experience with other commercial insurance types is helpful. The ideal candidate will have two to five years experience working in a medical billing department where primary responsibility was collections. Additional responsibilities include collections correspondence, and coordination with other billing staff.
The candidate must have an expert knowledge of:
- Billing and collections for Medicare and Medicaid claims in a Hospital or Medical Insurance environment
- Must have UB-04 experience
- Must be computer literate
- Have good interpersonal skills
- Thorough understanding of accounts receivables in a medical practice.
- No skip-tracers or retail account collectors, please.