Insurance Collections Representative

Description Responsible for following up with insurance companies and patients to obtain payment on accounts. Contact insurance companies by telephone to follow up and collect payments within established timeframes. Contact patients to obtain assistance in resolving accounts and securing payment. Inform management of payors causing reimbursement delays and report contract discrepancies to the appropriate level of management. Work assigned account volumes in accordance with departmental Standard Operating Procedures. Document all actions taken on patient accounts using the appropriate collector activity codes. Comply with HIPAA guidelines. Escalate unresolved accounts to insurance company management to expedite reimbursement. Utilize computer-based worklists and all available systems (e.g., WebMD, Availity) to obtain claim status and resolve accounts. Ensure all required insurance carrier documentation is obtained for payment resubmission. Review incoming correspondence and take corrective action as needed. Respond to insurance company and patient inquiries in a timely manner. Understand and analyze managed care contracts, CPT, HCPCS, and DRG codes to ensure accurate reimbursement. Review reimbursement payments to verify accuracy and ensure proper insurance adjustments. Identify uncollectible accounts for potential bad debt and submit recommendations to the supervisor for approval. Achieve performance standards established for the individual, unit, and department. Meet goals established for the individual, unit, and department. Perform other duties as assigned. Additional Skills & Qualifications Additional Information Regarding Qualifications Must be able to operate a 10-key calculator. Excellent communication skills, both written and verbal. Ability to work effectively with people from diverse backgrounds. Detail-oriented with strong problem-solving abilities. Strong math skills. Microsoft Office experience preferred. Proficient in managed care terminology and reimbursement practices. Minimum Required Experience 2 years Job Type & Location This is a Contract position based out of South Miami, FL. Pay And Benefits The pay range for this position is $20.00 - $23.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in South Miami,FL. Application Deadline This position is anticipated to close on Sep 5, 2026. About Aston Carter Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.