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Job Details

Senior Medical Collections Specialist

Company name
AmerisourceBergen Corporation

Location
Carrollton, TX, United States

Employment Type
Full-Time

Industry
Healthcare, Accounting, Customer Service

Posted on
Jan 31,2019

Valid Through
May 16,2019

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Profile

Title: Senior Medical Collections Specialist

Location: United States-Texas-Carrollton

Job Number: 00001ST8

The Senior Medical Collections Specialist will be responsible for various reimbursement functions, including

but not limited to accurate and timely claim submission, claim status,

collection activity, appeals, payment posting, and/or refunds, until accounts

receivable issues are properly resolved. Collects and reviews all patient insurance information

needed to complete the billing, collections, appeal, and/or cash processes. Completes and submits all necessary insurance forms and

electronic claims to process the claims in a timely manner as required by all

third party payors. Researches and resolves any electronic claim denials. Effectively utilizes various means for collections,

including but not limited to phone, fax, mail, and online methods. Provides exceptional customer service to internal and

external customers; resolves any customer requests in a timely and accurate

manner; escalates complaints accordingly. Maintains frequent phone contact with provider

representatives, third party customer service representatives, pharmacy staff,

and case managers. Independently analyzes, reports, and communicates any

reimbursement trends/delays (e.g. billing denials, claim denials, pricing

errors, payments, etc.). Processes any necessary insurance/patient correspondence. Provides all necessary documentation required to expedite

payments. This includes demographic, authorization/referrals, National Provider

Identification (NPI) number, and referring physicians. Coordinates with inter-departmental associates to obtain

appropriate medical records as they relate to the reimbursement process. Provides training and support to inter-departmental

associates. Performs related duties and special projects as assigned.

Qualifications: 5 years experience within revenue cycle including medical billing, collections, insurance follow up, etc. Requires broad training in fields such as medical billing, medical coding, medical collections, or similar vocations generally obtained through completion of a two year associate’s degree program or equivalent combination of experience and education. Proficient knowledge of accounting principles, pharmacy

operations, and medical claims. Proficient knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding. Understanding of commercial and government payers. Ability to proficiently use Microsoft Excel, Outlook and

Word.

Job: Operations Jobs

Company info

AmerisourceBergen Corporation
Website : http://www.amerisourcebergen.com

Company Profile
AmerisourceBergen is one of the world's largest pharmaceutical service companies serving the United States, Canada and selected global markets with a focus on the pharmaceutical supply channel. Servicing both pharmaceutical manufacturers and healthcare providers, the Company's service solutions range from niche premium logistics and pharmaceutical packaging to reimbursement and pharmaceutical consulting services. Our scale, our position in the healthcare industry, and the value we bring to the channel have all helped our business continue to succeed.

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