Collection Administration II in Fort Lauderdale, FL at Pride Health

Date Posted: 11/14/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Experience:
    Not Specified
  • Date Posted:
    11/14/2019

Job Description

Pride Healthcare is seeking a  Medical Collections Administrator II is a critical role in our Central Business Offices responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors.  

Location: Sunrise, FL 33323

Shift: Monday - Friday 8-5

Contract Duration: Through 02/07/2019

Responsibilities:

  • Ensures claims are processed accurately to secure timely payment.
  • Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner. 
  • Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
  • Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. 

Requirements:

  •  Must have a Min. of 3 yrs prior (recent) MEDICAL Collections Exp. on the Provider (Billing) side
  • Must have a strong background / exp. with APPEALS, DENIALS & REJECTIONS
  • Associate's degree (A. A.) or equivalent from an accredited college, university or technical school; or three to five years related experience and/or training; or equivalent combination of education and experience.
  • Previous high-volume collections experience with HMO’s, PPO’s, Worker' Comp, Medicare and Medicaid strongly preferred
  • Working knowledge of CPT and ICD-10 codes
  • Previous experience and demonstrated ability to thrive in a production-driven environment 
  • Excellent time management & multi-tasking skills
  • Proficiency with Microsoft Outlook suite of products; demonstrated aptitude for learning new software programs 
  • Superior verbal and written communication skills