Hospital A/R Collector Dallas CSO - Hospital
Overview
Own medical collections for surgical claims at a large Dallas hospital. Achieve maximum reimbursement by resolving outstanding balances. Lead daily queue management and process appeals. Differentiate through expertise in payer contracts and negotiation.
What You'll Do9
- 1Resolve unpaid surgical claims across all payers to maximize reimbursement
- 2Conduct timely insurance follow-ups and appeals for denials
- 3Review payer contracts and verify claim processing accuracy
- 4Negotiate payments with third party administrators for out-of-network providers
- 5Prepare medical necessity appeals with supporting documentation
- 6Analyze patient balances and collect outstanding payments
- 7Interpret explanations of benefits and managed care contracts
- 8Maintain accurate records of all communications and adjustments
- 9Prioritize high-value claims using systematic workflow systems
Requirements8
- 13+ years hospital collections experience preferred
- 2Expertise with CPC Card and BCBA certifications
- 3Proficiency in AWS Certified cloud platforms
- 4Familiarity with Kubernetes container orchestration
- 5Ability to manage complex payer networks including Medicaid and Medicare Advantage
- 6Strong Excel and Outlook skills with intermediate computer proficiency
- 7Experience with DDE Ability Ease and other healthcare software systems
- 8High school diploma or equivalent with demonstrated accountability
Salary Insight
Salary not disclosed in listing
Location
Required Skills
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