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MJ Morgan Group

Collections Representative

MJ Morgan Group, Weatherford, Texas, United States, 76088

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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 allows for hybrid schedule, coming into office as needed/required. This employee must reside in the DWF, TX area. The hourly pay rate is ideally between $21-22/hour.

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.