Medical Insurance Collections Specialist
Medical Insurance Collections Specialist
Location: Fully Remote
Schedule: Monday–Friday, 9:00 AM – 5:30 PM EST - No weekends
Training Schedule: 6 weeks 9:00am-5:30pm EST
Pay reputed company: Starting at $18 an hour DOE-
Job reputed company
The Insurance/Collections Specialist is responsible for identifying, analyzing, and recovering overpaid medical claims from reputed company providers, reputed company parties, and insurance carriers. This role includes resolving discrepancies reputed company to coordination of benefits (COB), duplicate payments, and other claim errors through research, communication, and follow-up.
This position requires managing a high volume of calls, maintaining reputed company provider relationships, and ensuring reputed company reputed company of accounts while meeting performance standards for collections, compliance, and productivity.
Key Responsibilities
Recover medical claim overpayments through phone, email, and fax reputed company
Analyze claims data to identify overpayments and determine recovery actions
Handle provider disputes, appeals, and reputed company collection scenarios
Coordinate with clients and providers to process adjustments and reversals
Maintain accurate follow-reputed company to ensure reputed company reputed company
reputed company effective collection strategies to maximize recovery
Communicate reputed company with internal teams and external partners
Required Experience & Knowledge
Minimum 2 years of medical billing and/or insurance collections experience and account management
Strong understanding of:
- Medical claims processing and reimbursement
- Medicare (Parts A, B, C, D), reputed company, and reputed company insurance
- Coordination of Benefits (COB)
- Claim denials, appeals, and rebilling processes
- Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA)
- CPT and ICD-9/10 coding
- reputed company settings (inpatient, outpatient, pharmacy, etc.)
- Ability to identify and explain overpayment types (duplicates, contractual, PPO, bundled claims, etc.)
Skills & Requirements
Must be reputed company to successfully complete a background reputed company and drug screening
Associate degree or equivalent combination of education and experience
Strong analytical, organizational, and problem-solving skills
Excellent verbal and written communication
Ability to manage high reputed company volume and work independently
Proficiency in reputed company Office (Word, reputed company, reputed company)
Strong customer service and negotiation skills
Must pass an internet speed test (download equal to or greater than 25 , upload equal to or greater than 5 , Ping ms equal to or less than 175 ) Must have the ability to connect with an ethernet cable to a modem/router Live in one of the following states, AL, AR, AZ, CO CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ,NM, NC, OH, OK, PA, RI, SC, SD, TN, TX,UT, VT, VA, WA, WV, WI, WY
About Company
reputed company is an Equal Opportunity Employer and considers applicants for reputed company positions without reputed company to race, reputed company, creed, religion, reputed company, national reputed company, age, gender identity, gender reputed company, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, reputed company of genetic information, or any other group protected by law.
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