PR · On-site
$15 - $19.25/hr
Timely deliver required explanations of payment to the Collections area. * Request explanations of payments or additional evidence from medical plans as needed. Requirements: * Medical Billing ...
Quick apply
PR · On-site
$15 - $19.25/hr
Timely deliver required explanations of payment to the Collections area. * Request explanations of payments or additional evidence from medical plans as needed. Requirements: * Medical Billing ...
PR · On-site
$15.25 - $20.50/hr
G uaynabo, Puerto R ico The Collections Specialist is responsible for auditing accounts receivable generated in the medical billing cycle, ensuring the accuracy of the information before final ...
Quick apply
PR · On-site
$15.25 - $20.50/hr
G uaynabo, Puerto R ico The Collections Specialist is responsible for auditing accounts receivable generated in the medical billing cycle, ensuring the accuracy of the information before final ...
Senior Billing Specialist (Remote)
PR · Remote
... collections. * Work with project staff to ensure that bills go forward as quickly as possible ... Health Insurance- medical, dental, vision & pharmacy benefits. (Employer contribution included)
Senior Billing Specialist (Remote)
PR · Remote
... collections. * Work with project staff to ensure that bills go forward as quickly as possible ... Health Insurance- medical, dental, vision & pharmacy benefits. (Employer contribution included)
PR · On-site
They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...
Quick apply
PR · On-site
They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...
PR · On-site
They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...
Quick apply
PR · On-site
They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...
PR · On-site
They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...
Quick apply
PR · On-site
They play a crucial role in ensuring that the organization receives proper reimbursement for medical services provided to patients. This involves managing the billing and collections process ...
Oracle CPQ Cloud Implementation Consultant - Senior Associate
San Juan, PR · On-site
$77K - $202K/yr
... billing, fulfillment, payments, collections, revenue management, and accounting close processes ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
Oracle CPQ Cloud Implementation Consultant - Senior Associate
San Juan, PR · On-site
$77K - $202K/yr
... billing, fulfillment, payments, collections, revenue management, and accounting close processes ... PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation ...
Medical Billing Collections information
What is medical billing collections?
Medical billing collections refer to the process of pursuing payments on medical bills from patients and insurance companies. This job involves reviewing accounts, sending invoices, following up on unpaid bills, and working to resolve any discrepancies or denials from payers. Professionals in this field must have a strong understanding of insurance policies, billing codes, and healthcare regulations. Effective communication and negotiation skills are essential to work with both patients and insurers to collect outstanding balances.
What are the key skills and qualifications needed to thrive as a medical billing collections specialist?
To thrive as a Medical Billing Collections Specialist, you need strong knowledge of medical billing procedures, coding systems like ICD-10 and CPT, and a high school diploma or equivalent—often supplemented by specialized certification. Familiarity with billing software, electronic health records (EHRs), and insurance claim management systems is typically required. Excellent communication, attention to detail, and problem-solving abilities help you effectively resolve payment issues and work with patients or insurers. These skills and qualifications are essential to ensure accurate reimbursement, minimize claim denials, and maintain the financial health of healthcare organizations.
What are some common challenges faced by professionals in medical billing collections, and how can they be effectively managed?
Professionals in medical billing collections often encounter challenges such as insurance claim denials, delayed payments, and complex patient inquiries regarding billing statements. Effectively managing these issues requires strong attention to detail, clear communication skills, and up-to-date knowledge of insurance policies and coding procedures. Building positive relationships with patients and insurance representatives, staying organized, and regularly attending industry training can help address these challenges and improve collection rates.
What is the difference between Medical Billing Collections vs Medical Billing?
| Aspect | Medical Billing Collections | Medical Billing |
|---|---|---|
| Certifications | Medical Billing Certification, Collections Certification (optional) | Medical Billing Certification (preferred) |
| Work Environment | Collections departments, often in healthcare offices or outsourcing firms | Billing departments within healthcare facilities or billing companies |
| Primary Responsibilities | Follow-up on unpaid claims, recovering overdue payments | Submitting claims, coding, and processing payments |
| Common Usage | Focuses on overdue accounts and payment recovery | Handles entire billing cycle from claim submission to payment posting |
Medical Billing Collections primarily concentrates on recovering unpaid or overdue patient accounts, while Medical Billing covers the entire process of submitting claims and managing payments. Both roles require similar certifications and work in healthcare billing environments, but their core functions differ in focus and scope.
What does a medical billing collections specialist do?
A medical billing collections specialist is responsible for following up on unpaid or overdue medical bills, contacting patients or insurance companies to collect payments, and ensuring accounts are settled accurately. They often use billing software and have knowledge of healthcare regulations and insurance processes to resolve billing issues efficiently.
What are popular job titles related to Medical Billing Collections jobs in Puerto Rico?
For Medical Billing Collections jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Medical Billing Collections jobs in Puerto Rico look for?
The top searched job categories for Medical Billing Collections jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Medical Billing Collections jobs?
Cities in Puerto Rico with the most Medical Billing Collections job openings:
$15 - $19.25/hr
Full-time
Re-posted 16 days ago
Job description
Location: Guaynabo PR
The Payment Reconciliation Specialist is responsible for performing complete reconciliation of payments from Health Plans, Foundations, and patients. Their role ensures that all payments received are validated, correctly applied in the billing systems, accurately documented, and reported in a timely manner. This role is critical to the financial integrity of the revenue cycle and to the operational compliance of the department.
Responsibilities:
- Perform electronic and manual reconciliation of payments for medical plans, foundations, and patient deductibles.
- Validate that the balances created in the secondary plans and patient lines are correct.
- Download 835 files, review portals, and process information as requested.
- Apply payments in the system and correctly document transactions made.
- Record all reconciled payments in the established systems.
- Review and document daily deposits sent by accounting.
- Obtain, scan, and file Explanations of Payment (EOP).
- Generate reconciliation reports and balance transaction totals.
- Timely deliver required explanations of payment to the Collections area.
- Request explanations of payments or additional evidence from medical plans as needed.
Requirements:
- Medical Billing Certification or equivalent to 2 years of billing experience.
***Equal Opportunity Employer M/F/V/D***