Medical Insurance Collector (Greater Houston Residents)
About the position
The Medical Insurance Collector at Nutex Health is responsible for managing out-of-network collection activities related to complex denials and outstanding balances with various payors. This role requires in-depth knowledge of collection processes and medical insurance providers, as well as strong problem-solving and organizational skills. The position is full-time and offers the potential for remote work after an initial training period.
Responsibilities
?? Perform out-of-network collection activities on complex denials.
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?? Prepare appeals and necessary actions on outstanding balances with major payors.
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?? Respond to correspondence from insurance carriers.
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?? Research, appeal, and resolve unpaid insurance claims.
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?? Work assigned claim volume timely and efficiently within corporate timeframes.
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?? Follow up on payment errors and review postings before approving patient statements.
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?? Initiate collection follow-up on unpaid or denied claims with appropriate insurance carriers.
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?? Ensure payment meets the qualified payment amount required by the No Surprises Act.
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?? Follow all processes and procedures set by department leadership.
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?? Meet performance goals for efficiency, accuracy, quality, member satisfaction, and attendance.
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?? Stay informed of changes in procedures, billing guidelines, and laws for assigned insurance carriers.
Requirements
?? Minimum of three (3) years' experience in Out of Network Facility and Physician Hospital Claims.
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?? Experience administering appeals in a high-volume claim environment.
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?? Strong knowledge of insurance plan providers such as BCBS, UHC, Aetna/Cigna, and self-funded/commercial providers.
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?? Experience reading, analyzing, and interpreting medical Explanation of Benefits.
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?? Familiarity with computer and Windows PC applications such as Excel and Word.
Nice-to-haves
?? Working knowledge of NSA (No Surprises Act).
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?? Ability to type 45-60 WPM.
Benefits
?? $0 Premium Benefits- Medical, Dental, Vision
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?? 401K
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?? STD / LTD
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?? $50K Basic Life Insurance
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?? Supplemental Policies
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?? Employee Stock Purchase Program
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?? Employee Assistance Program
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