Insurance Collection Specialist

This is a fully remote position, open to applicants in Florida.

📋 Description

• Promptly follow up on all assigned accounts through the use of A/R reports and account management activities.

• Ensure the timely collection of all overdue balances.

• Leverage available resources for effective claims resolution.

• Implement payer guidelines for efficient denial management.

• Comprehend and apply ICD-10, CPT-4, and related modifiers.

• Navigate various levels of the appeals process to enhance recovery efforts.

• Evaluate medical record documentation and identify necessary documentation to overturn insurance denials.

• Identify resources for drug information and terms related to medical necessity.

• Understand the elements of the FDA Label.

• Utilize compendia resources to aid in medical necessity appeals.

• Support in training new collection specialists.

⛳️ Requirements

• High School diploma, Certificate, GED, Training, or Experience.

• A minimum of 5 years of experience.

• Background in billing, collections, and appeals.

• Preferred completion of an accredited Certified Coding Specialist program.

• Proficient in MS Word and Excel.

• Strong written and verbal communication skills.

• Detail-oriented with excellent problem-solving abilities.

• Knowledgeable in medical terminology, explanation of benefits, and insurance verification processes.

• Familiarity with ICD-10, CPT-4, and modifiers.

🏝️ Benefits

• Opportunities for career growth and development, with clear pathways and continuous support.

• Comprehensive health and wellness resources available.

• Wellness program designed to help employees eliminate their medical plan deductible.

• Tuition reimbursement offered.