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Collections Representative
Collections RepresentativeMJ Morgan Group • Weatherford, TX, US
Collections Representative

Collections Representative

MJ Morgan Group • Weatherford, TX, US
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Seeking a Collections Representative to join a healthcare organization in the Weatherford, TX area.

This is a 26-week contract position with a flexible start time between 6-9am. This role is remote, however, you will be required to come into the office occasionally if needed. This employee must reside in the DWF, TX area.

General Job Summary

  • The successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections.
  • Capable of reviewing Explanation of Benefits from payors to determine how the claims were managed.
  • Contacting insurance carriers to check on the status of claims, appeals, and insurance verification.
  • Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid
  • Preparing / Submitting appeals related to denied services

Essential Functions

  • Analyze payer denials by denial groupers and submit appeals.
  • Contact patients and / or third-party payers to resolve outstanding insurance balances and underpaid claims.
  • Make necessary adjustments as required by plan reimbursement.
  • Functions as a liaison between clinical departments and MSRDP management team.
  • Completes special projects as assigned.
  • Qualifications

  • High school diploma required. AA / Bachelor's degree preferred.
  • At least 2 years of experience in medical claims recovery and / or collections required.
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    Collection Representative • Weatherford, TX, US

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