Insurance Collections Specialist

Duties

• Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
• Maintains active communications with insurance carriers and third-party carriers until account is paid.
• Negotiates payment of current and past due accounts by direct telephone and written correspondence.
• Updates patient account information
• Marks monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
• Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
• Manages all assigned worklist on a daily basis for assigned insurances.
• Utilizes collection techniques to resolve accounts according to company’s policies and procedures.
• Reports any coding related denial to the Coding Specialist.
• Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
• Conducts necessary research to ensure proper reimbursement of claims.
• Affords assistance with special projects assigned by Billing Manager or Supervisor

Requirements

• High school diploma or GED equivalent
• At least 2 years’ experience in insurance collections
• Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
• Knowledge with letters of appeal
• Intermediate experience with Microsoft Excel and Office products is required
• Experience with HMO, PPO, and Medicare insurances
• Must be able to read, interpret, and apply regulations, policies and procedures

Qualifications

• Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
• Intermediate experience with Microsoft Excel and Office products
• Experience with HMO, PPO, and Medicare insurances
• Must be able to read, interpret, and apply regulations, policies and procedures

Skills

• Excellent communication skills
• Strong organizational skills
• Ability to work independently and as part of a team
• Proficient in Microsoft Excel and Office products

Benefits

• Medical
• Dental
• Vision
• Spending Accounts
• Life / AD&D
• Disability
• Accident
• Critical Illness
• Hospital Indemnity
• Legal
• Identity Theft
• Pet
• 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
• Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees

Pay

Competitive compensation

Schedule

Rapidly growing team with opportunities for advancement