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Hours Full-time, Part-time
Location Plano, Texas 75024
Plano, Texas

About this job

Aerotek has current openings with a growing healthcare organization in the Plano area. They are looking for experience Medical Billers and Collectors to join their growing organization. Please review the details below and apply today!

Job Duties:

* Assess accounts for balance accuracy, payer plan and financial class accuracy, billing accuracy, denials, insurance requests
* Provide documentation appropriately and submit corrections or escalate for re- processing in a professional and timely manner
* Resolve claim processing issues on a timely basis by reviewing claim inventories, payments and adjustments and taking appropriate actions to ensure proper discounts and allowances have been completed as well as identify applicable accounts for secondary billing and follow up
* Ensure accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: benefits and coverage according to specific carrier, UB92 claims form preparation
* Work any assigned correspondence related to assigned accounts
* Document all activity taken on an account in the patient account notes
* Conducts appropriate account activity on accounts by contacting government agencies, third party payors, and patients/guarantors via phone, e-mail, or online. Continue collection activity until account is resolved
* Responsible for maintaining inventory and that daily productivity standards of assigned accounts are met
* Request additional information from patients, medical records, and others upon request from payors
* Review payer contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
* Updates Plan IDs and Patient/Payor demographic information; document notes to accounts
* Identify payor issues and trends and escalate issues to Management
* Ensure compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors

Qualifications:

* High School Graduate minimum education requirement

* Medical collections experience preferred
* Strong analytical skills and strong proficiency in Microsoft Office Tools
* Some college coursework in business administration or accounting preferred
* 2-3 years medical claims and/or hospital collections experience
* Average 1 to 2 years tenure at previous positions
*Open to bachelors degree without experience


* Must be able to communicate effectively and professionally with strong attention to details and problem solving both verbally and written
* Strong telephone communications skills are required
* Ability to prioritize work and meet deadlines
* Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements
* Intermediate knowledge of hospital billing form requirements (UB-04)
* Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology, understanding of ICD-10 a plus
* Intermediate Microsoft Office (Word, Excel) skills
* Advanced business letter writing skills to include correct use of grammar and punctuation
* Understanding of the revenue cycle process
* Ability to make sound decisions
* Has a full understanding of hospital collections, knowledge of Managed Care contracts, Contract Language and Federal and State requirements.
* understanding of EOB, hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms




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 Aerotek.com.

Aerotek is acting as an Employment Agency in relation to this vacancy.