Insurance Collections Specialist

Description: • 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. • 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. • Manage all assigned worklist on a daily basis for assigned insurances. • Utilize collection techniques to resolve accounts according to company’s policies and procedures. • Report 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. • Assist 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. Benefits: • 401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3% • Discretionary profit-sharing contributions of up to 4% • Health insurance • Employer contributions to HSAs and HRAs • Dental insurance • Vision insurance • Flexible spending accounts • Voluntary life insurance • Voluntary disability insurance • Accident insurance • Hospital indemnity insurance • Critical illness insurance • Identity theft insurance • Legal insurance • Paid time off • Discounts at local fitness clubs • Discounts at AT&T • Tickets at Work discounts Apply Job!