Collections Admin II(Temporary)

Mednax – Glen Allen, VA

TemporaryOverview

MEDNAX has grown from a single medical practice to a trusted health solutions partner with more than 10,000 employees and a presence in 50 states. Through our family of companies, we provide:

  • physician services spanning the continuum of patient care
  • revenue cycle management solutions
  • performance improvement consulting
  • We invite you to grow with us and help shape the future of health care.

    The Temporary Medical Collections Administrator II is responsible for effective and efficient accounts receivable management of assigned payors. The collections efforts on outstanding accounts includes: telephone contact with payers as well as patients, working high volume collection reports and correspondence, auditing accounts, appealing denied claims as necessary, updating accounts as needed, identifying carrier related denial trends and consistently meeting departmental productivity standards. The incumbent performs required tasks on internal software as well as the Master Database, electronic claims vendors’ software and various applications as well as using the internet to access payor websites. Extensive high volume collections experience with HMO’s, PPO’s, Workers Comp, Medicare and Medicaid.

    Prior Medical Collections experience, in a production-driven environment is fundamental for success in this role. The successful individual must also be able to communicate and collaborate effectively with other internal as well as external resources in order to achieve desired results and resolve issues.

    Responsibilities
  • Specific top 4:
  • Ability to write good persuasive appeals throughout the day
  • Analyze EOB to appeal disallowed amounts and inflated coinsurance
  • Analyze accounts to find variations in payment processing
  • Ability to convenience the patients to help with appeal process
  • General top 4:
  • Analytical
  • Communicates professionally verbally and in writing
  • Retains information
  • Can take the initiative to problem solve independently
  • Ensures that claims are processed accurately through review and audit functions to ensure timely payment. Responds to inquiries regarding claims with under payment or non-payment. Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner. Interfaces with external and internal customers to ensure optimal efficiency of service.
  • Monitors aging of claims to ensure timely follow-up and payment.

  • Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and 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. Reviews error codes associated with claims to ensure correction, resubmission, and subsequent payment. Analyzes common errors to support quality assurance efforts. Ensures corrected claims are sent out and monitored for payment.

  • Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections through participation in professional development activities.

  • Prepares routine management reports, quality reports, and special reports as directed by supervisor. Communicates collection problems to supervisor and makes recommendations for changes.

  • Performs assignments accurately and on time, as directed. Assists other accounts receivable staff with workload and provides back-up support in their absence. Maintains individual productivity and performance standards.

  • Participates in administrative staff meetings and attends other meetings and seminars, as required. Assists in evaluation of reports, decisions, and departmental results in relation to established goals. Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed.

  • Serves as a member of the Accounts Receivable Department Team. Performs duties necessary to ensure the team’s projects/goals are completed. Takes ownership of special projects, researches data and follows through with detailed action plans.

  • Consistently adheres to MEDNAX, Departmental, Operational, Office and HR policies and procedures. Reports to work, meetings and professional obligations on time.

  • Maintain strict confidentiality in accordance with HIPAA regulations and Company policy, including divulging any patient private health information (PHI) only on a need-to-know basis to payers requiring the information for claims payment processing.

  • Performs other duties as assigned or requested.

  • Qualifications

    Associate's degree (A. A.) or equivalent from two-year college or technical school; or three to five years related experience and/or training; or equivalent combination of education and experience.

    MEDNAX IS AN Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status

    This job posting is no longer available on OPTnation.
    Find similar jobs: on Job Search

    All Jobs in Glen Allen, VA

    • Wellness Center Supervisor

      PetIQ Glen Allen, VA

      View Job
    • Medical Receptionist (Full-time/Salary+Benefits)

      Civitas Health Services Richmond, VA

      View Job
    • Activity Assistant - Full-Time Spring Arbor Cottage of Richmond

      HHHunt Corporation Richmond, VA

      View Job
    • Office Assistant II

      La Casa Inc Richmond, VA

      View Job
    • Family Services Case Specialist

      Virginia Family & Fatherhood Initiative Richmond, VA

      View Job
    • Administrative Assistant

      Lucrescent Bearing Corporation Richmond, VA

      View Job
    • Network Services Credentialing Coordinator

      MedCost LLC Richmond, VA

      View Job
    • Financial Analyst

      CapTech Consulting Richmond, VA

      View Job
    • Dental Assistant

      Atlee Family & Cosmetic Dentistry Hanover, VA

      View Job
    • Parts Driver

      Rush Enterprises Ashland, VA

      View Job
    • Grants Administrator

      Virginia Commonwealth University Richmond, VA

      View Job

    Featured Articles

    How to Balance Work Life & College Life in USA

    31 August 2018

    Many international students feel overwhelmed while trying to strike a balance between their academics and job. It’s not like you can forgo of your job because let’s face it; it is very expensive to study in US. The expenses for housing, food, tuition and additiona

    read more..

    SAP MM Online Training

    22 April 2016

    SAP Material Management (MM) is a functional system/module that deals with inventory management and procurement handling. It is one of the largest modules and integrates well with other SAP modules like QM, PP and SD. Its main features are credit, good receipt, bill of material, purchase orders, acc

    read more..

    International Student Work Permit for F1 Visa Work After Graduation

    01 April 2019

     F1 Work Permit – Work Options while Studying in USA on Student Visa   International students who wish to study in the USA have the permission to study on Student Visa. So, these stude

    read more..

    Advanced Java Online Training By Experts

    20 April 2016

    Advanced Java online training is a comprehensive study of many advanced Java topics, such as collection classes, searching and sorting, assertions, logging, threads, serialization, etc. It familiarizes with file handling, I/O stream, and teaches to use streams to communicate over network sockets.The

    read more..

    Thanks For Your Feedback

    OPT Nation© 2018 Powered By Ragns Inc

    Attach A Resume First