Collections Admin II
Overview: We have an exciting Collections Administrator II opportunity. Pediatrix Medical Group is a physician lead organization, and we are one of the nation’s largest providers of prenatal, neonatal and pediatric services. Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We offer a diverse range of opportunities, competitive salaries and benefits, and a commitment to clinical excellence, we are confident that you'll love being a part of the Pediatrix team. Responsibilities: The Medical Collections Administrator II is a critical role in our Central Business Offices responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors. Ensures claims are processed accurately to secure timely payment.
- Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.
- Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
- Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
Qualifications: Education/Experience:
- Associate's degree (A. A.) or equivalent from an accredited college, university or technical school.
- Three (3) to five (5) years related experience and/or training; or equivalent combination of education and experience.
- Previous high-volume collections experience with HMO’s, PPO’s, Worker' Comp, Medicare and Medicaid strongly preferred
- Working knowledge of CPT and ICD-10 codes
- Previous experience and demonstrated ability to thrive in a production-driven environment
Skills:
- Excellent time management & multi-tasking skills
- Superior verbal and written communication skills
Software:
- Proficiency with Microsoft Outlook suite of products; demonstrated aptitude for learning new software programs
Benefits and Compensation: Benefits for Full Time employees and qualified dependents:
- Medical, Prescription, Dental, Vision Insurance
- Progyny Fertility Benefits
- Livongo Diabetes Management
- Teladoc Health and Second Opinion Services
- Smart Shopper
- 401(K) Thrift Program & Sharing Plan**
• Employee Stock Purchase Plan (ESPP) – 15% discount* • Basic Employee; Spouse; Child Life Insurance
- Accidental Death and Dismemberment (AD&D)
- Employee Optional Life and AD&D
- Short & Long Term Disability
- Pre-Tax Health Savings Accounts (HSA)
- Employee and Dependent Flexible Spending Account (FSA)
- Family Medical Leave Act (FMLA)**
• Parental Leave Benefit
- Sick Pay Bank
- Employee Assistance Program (EAP)**
• Group Aflac Policies
- Identity Theft Protection
- Employee Charitable Fund
- Care.com
- Various Discount Programs
- Part Time Regular employee classifications also receive this benefit
- *Available to part-time regular and part-time casual employees aged 21 and over
About Us: Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers. #LI-Remote #PedNC Pediatrix is an Equal Opportunity Employer: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Apply tot his job