Specialist, Insurance Collections

About the role

The primary purpose and function the Specialist, Insurance Collections is to coordinate with insurance carriers to ensure the receipt of outstanding insurance claim payments. Follow-up on claims payment status averaging around 25-35 accounts per day.

Responsibilities

• Maintain individual office Insurance Accounts Receivable at an acceptable level as outlined by PDS
• Review patients’ accounts to ensure accuracy on insurance billing and procedures performed
• Read and analyze various internal reports that contain claims and insurance information
• Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payment
• Process attachments through National Electronic Attachments (NEA)
• Use various on and offline methods to trace outstanding claims payments
• Use interpersonal and communications skills to obtain claims approval and payment information from various carriers
• Maintain an appropriate professional appearance and demeanor in accordance with Company policy
• Other duties as assigned by management

Qualifications

• Equivalent to high school diploma or general education degree (GED)

Preferred

• EPIC knowledge
• Associate’s or Bachelor’s Degree or a one-year certificate from an accredited college or technical school; or equivalent combination of education and experience
• Experience in medical or dental setting
• Ability to interpret Explanation of Benefits

Skills

• Ability to multi-task effectively without compromising the quality of the work
• Excellent interpersonal, oral and written communication skills
• Detail oriented, organized, process focused, problem solver, proactive, ambitious, customer service focused
• Ability to draw conclusions and make independent decisions with limited information
• Ability to respond to common inquiries from team members, dental offices and other members of the business community
• Self-motivated, reliable individual capable of working independently as well as part of a team

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

Pay

$17.00-$22.20 / Hourly