Description

This position is focused to ensure account resolution and reconciliation of outstanding balances for patient accounts. The position works in a cooperative team environment to provide value to internal and external customers. It focus in collections activities directly with private/government insurance companies. Key Responsibilities

Collects and provides patient and payor information to facilitate account resolution.

Responds to all types of account inquires through written, verbal or electronic correspondence.

Performs medical records requests when necessitated by payers.

Gathers all information needed to ensure payment of the claim.

Responsible for requesting and forwarding all required documentation to payers.

Demonstrates knowledge of standard bill forms and filing requirements.

Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines.

Works payor rejected claims for resubmission





Appropriately documents patient accounting host system or other systems utilized by the organization in accordance with policy and procedures.

Provides continuous updates and information to the Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.

Collect balances due from payors ensuring proper reimbursement for all services General Knowledge/Competencies

Excellent customer support

Professional and effective written and verbal English communication required.

Good communication skills.

Knowledge of how insurance works (desire not requirement) Requirements

Education

Degree in Finance, Accounting or equivalency

Advanced English Experience

~ Experience with collections, payment or reimbursement verification and/or refunds. Add your resume when apply. Thank you!

📌 Representative (Monterrey)
🏢 Christus Excellence And Innovation Center
📍 Monterrey