Medical Collector

CHMB Inc. Dallas, TX
AR Specialist/Medical Collector

CHMB has provided technology & business services for healthcare professionals for over twenty years. CHMB works with physicians and health systems nationally to successfully manage the revenue cycle and to optimize payment for services provided. Today, more than 11,000 physicians encompassing 45 different medical specialties rely on CHMB for their experience in delivering proven solutions to improve practice profitability and optimize healthcare technology investments.

The AR Specialist is responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for CHMB clients. The AR involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. The position supports the companys overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and showing results.

Essential Functions:

* Strong customer service skills; answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information

* Timely management of unpaid claims as assigned, through the use of the clients office manager; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint

* Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid

* Monitoring and reconciliation of claims to include:

* Held vouchers

* Unbilled vouchers

* Denial trends

* Patient balance report

* Credits and refunds

* Manage and track information requests to client.

* Answer and resolve all incoming calls and requests in a timely manner.

* Complies and enforces and policies and procedures

* Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements; Specific goals include 1,400 accounts worked per month

* Other duties as assigned

Experience/Training/Education:

* High School Diploma or GED

* 2+ years of billing experience required.

* Internal Medicine experience preferred.

Knowledge/Skills/Abilities:

* Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with Allscripts.

CHMB offers a competitive compensation package and a great work environment. If you are someone looking to use your talents to help our clients meet their needs, and work with an exciting team, we want to hear from you.

CHMB promotes a drug-free workplace and all job offers will be contingent on passing a drug screen and a favorable pre-employment background check.

EEO/M/F/D/V