Randstad Medical Claims Collections and Billing in Frederick, Maryland

Medical Claims Collections and Billing

job details:

  • location:Frederick, MD

  • salary:$15 per hour

  • date posted:Monday, January 28, 2019

  • experience:Entry Level

  • job type:Temp to Perm

  • reference:S_726128

  • questions:jamee.murray@randstadusa.com678/589-8015

job description

Medical Claims Collections and Billing

Randstad is seeking the ideal candidate to work a contract to hire position with a well-known healthcare company in your area. Please see the details below and apply with your resume.

Pay starting at $15/hour

Responsibilities:

The Claims Recovery Services Team is a responsible for making outbound calls and addresses inbound calls. The reps work directly with health care providers to coordinate recovery / collection of over payments. The team reviews over payment situations, resolve, and recover dollars for health plans, commercial customers, and government entities. This position handles overpaid claim inventory through telephone contact with the provider, which includes physician, facility, labs, etc.

Reps will have daily/weekly/monthly goals to maintain. The reps will be taking inbound calls and outbound calls

Working hours: 8:00 AM - 7:00 PM

Skills:

Specific Duties:

1.Take inbound calls from providers and/or make outbound calls to providers to discuss and resolve outstanding overpayments (95% of your day can be on phones)

2 With a focus on building a solid working rapport with the provider representatives to review and discuss overpayment situations and provide detailed explanations to the providers in both verbal and written format

  1. Escalate recovery efforts through many avenues to progress and resolve the situations

  2. Strive to meet and exceed quality production defined goals (calls/contacts), including a financial target

  3. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance

  4. Complete required documentation on all recovery efforts on a timely basis in the appropriate claims platforms

  5. Perform other duties as assigned

Education:

High School

Experience:

Entry Level

Qualifications:

Must have qualifications/experience:

1.High school diploma or GED (or higher) or equivalent work experience

  1. 1+ Medical Claims, Professional Billing, and / or Collections

  2. 1+ year of experience analyzing and solving customer problems

Shift Start/End Time: it will depend on the region we need them to work, they could work anywhere between 8-7pm EST 40 hours within these hours.

Dress Code: Casual

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.