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Insurance Collection Specialist

PROMD PRACTICE MANAGEMENT INC

Pinecrest, FL·Posted 22d ago

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Full-Time401k MatchHealth InsuranceDental & VisionPTO / Paid Time OffFlexible Schedule

Benefits:

401(k)
Dental insurance
Health insurance
Opportunity for advancement
Paid time off
Vision insurance
401(k) matching
Flexible schedule

Medical Insurance Collection Specialist

ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Specialist. This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers.

Qualifications

Candidates must meet the following requirements:

Proven experience in medical insurance collection department.
Strong knowledge of medical appeal guidelines and insurance verification processes.
Proficiency in managing appeals and conducting insurance verification.
Strong communication skills (written and verbal).
Proficient in Microsoft Excel.
Knowledge of medical billing guidelines across multiple specialties, including but not limited to OB/GYN, Cardiology, Gastroenterology, and Primary Care.
Note: This is not an entry-level position. Prior experience and hands-on medical insurance collection experience are required.

Responsibilities

Analyze reimbursement procedures and account activity to ensure maximum reimbursement.
Review and evaluate denials to determine and implement required actions to overturn denials.
Identify denial trends related to assigned clients in efforts to implement corrective actions.
Achieve unit daily account average target and work deligently to maintain assigned client's AR below 18%.
Utilize insurance portals to appeal denied claims.
Focus on payer profiles, contract adherence, and denied claim resolution.
Identify problem trends such as incorrect coding, carrier nonpayment patterns, and physician coding inconsistencies.
Maintain and promote a positive, and professional work environment while maintaining strict confidentiality.
Provide consistent support to clients, management, and team members.