Insurance Collection Specialist

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

📋 Description

• Promptly follow up on all assigned accounts utilizing A/R reports and account management activities.

• Ensure the swift collection of outstanding balances.

• Leverage available resources for effective claims resolution.

• Implement payer guidelines for efficient denial management.

• Utilize ICD-10, CPT-4, and relevant modifiers.

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

• Assess medical record documentation and determine what is needed to reverse insurance denials.

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

• Comprehend the components of FDA labels.

• Utilize compendia resources to support medical necessity appeals.

• Aid in the training of new collection specialists.

⛳️ Requirements

• High School diploma, certification, GED, training, and experience.

• Experience in billing, collections, and appeals processes.

• Proficiency in MS Word and Excel.

• Exceptional written and verbal communication abilities.

• Detail-oriented with strong problem-solving skills.

• Knowledge and understanding of medical terminology, explanation of benefits, and insurance verification applications.

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

• Completion of an accredited Certified Coding Specialist program is preferred.

🏝️ Benefits

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

• Comprehensive health and wellness resources.

• Wellness program designed to assist employees in eliminating their medical plan deductible.

• Tuition reimbursement.