Insurance Collections Specialist

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

📋 Description

• Oversee and assist the insurance collections team in managing accounts receivable.

• Ensure that insurance claims are resolved accurately and promptly, including managing denials and tracking underpayment trends.

• Act as a subject matter expert and handle first-level escalations.

• Optimize workflows and provide mentorship to team members.

• Address complex claims and payer-related issues.

• Engage in training, audits, reporting, and initiatives for process enhancement.

• Collaborate closely with management to support strategic revenue cycle management objectives, adhere to policy changes, and promote operational excellence.

• Serve as a liaison among healthcare providers, patients or responsible parties, and revenue sources.

• Maintain communication with insurance and third-party carriers until accounts are fully settled.

• Negotiate payments for current and overdue accounts through phone calls and written correspondence.

• Update patient account details as necessary.

• Monitor patterns in payer denials and problematic accounts, reporting findings to the supervisor.

• Generate monthly aging reports based on date of service and current accounts receivable.

• Manage daily tasks from assigned insurance worklists.

• Employ collection strategies to resolve accounts in accordance with company guidelines.

• Report coding-related denials to the Coding Specialist.

• Send faxes, create retroactive authorization requests, and verify medical eligibility.

• Investigate claims to ensure appropriate reimbursement.

• Assist with special projects assigned by the Billing Manager or Supervisor.

⛳️ Requirements

• Experience working with a large, expanding healthcare organization that supports 100 or more providers and supervises a team of over 10 members.

• Minimum of 3 years of experience in insurance collections.

• Familiarity with large healthcare billing systems (over 100+ providers) is advantageous.

• Understanding of medical terminology relevant to collections and billing (CPT, ICD-10, HCPCS).

• Experience with writing letters of appeal.

• Intermediate proficiency with Microsoft Excel and Office products is necessary.

• Experience with HMO, PPO, and Medicare insurance plans.

• At least 5 years of experience in the healthcare industry.

• A minimum of 1 year of supervisory experience leading a team in roles related to healthcare revenue cycle management covering all aspects of the revenue cycle.

• Ability to read, interpret, and implement regulations, policies, and procedures.

🏝️ Benefits

• Excellent work/life balance.

• No weekends or evenings – Monday through Friday schedule.

• Paid holidays and vacation time.

• Opportunities for career advancement.

• Competitive salary.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Spending accounts.

• Life and AD&D insurance.

• Disability insurance.

• Accident insurance.

• Critical illness insurance.

• Hospital indemnity insurance.

• Legal services.

• Identity theft protection.

• Pet insurance.

• 401(k) retirement plan with a Non-Elective Safe Harbor employer contribution for eligible employees.

• Discretionary profit-sharing with employer contributions ranging from 0% to 4% for eligible employees.

• Discounts on concerts, travel, movies, and more through Tickets at Work.