<p>We are looking for a skilled Surgery Medical Collections Specialist to join our team. In this role the Surgery Medical Collections Specialist will play a critical part in managing insurance follow-ups, addressing medical appeals, and resolving claim denials. This position is ideal for someone with expertise in medical billing and collections, particularly in surgical and outpatient care settings.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough follow-ups on insurance claims to ensure timely reimbursements.</p><p>• Analyze and resolve denied claims by identifying errors and submitting appeals as necessary.</p><p>• Collaborate with insurance companies to address discrepancies and secure payment resolutions.</p><p>• Maintain accurate and up-to-date records of all collection activities and claim statuses.</p><p>• Process billing for ambulatory and outpatient surgical procedures, ensuring compliance with regulations.</p><p>• Communicate effectively with patients regarding outstanding balances and payment plans.</p><p>• Review accounts to detect patterns in denials and recommend process improvements.</p><p>• Work closely with the billing team to streamline claims submission and follow-up processes.</p><p>• Stay informed about changes in insurance policies and billing procedures to ensure compliance.</p>

<p>• At least 3 years of experience in medical billing, collections, and appeals.</p><p>• Strong knowledge of handling insurance claim denials and submitting medical appeals.</p><p>• Familiarity with billing practices for ambulatory surgery and outpatient care.</p><p>• Proficiency in using medical billing software and related tools.</p><p>• Excellent communication skills for interacting with patients, insurance providers, and team members.</p><p>• Ability to analyze claim issues and recommend effective resolutions.</p><p>• High attention to detail and organizational skills to manage multiple accounts.</p><p>• Understanding of healthcare regulations and compliance standards.</p>

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