Accounts Receivable, Analysis Skills, Cardiology, Communication Skills, Corrective Action, Customer Support/Service, Dental Insurance, Develop and Maintain Customers, Gastroenterology, Health Insurance, Identify Issues, Insurance, Medical Billing, Medical Coding, Microsoft Excel, Presentation/Verbal Skills, Primary Care, Reimbursement, Revenue Management, Team Lead/Manager, Trend Analysis, Vision Plan, Writing Skills
- 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.
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Vision insurance
- Life insurance
- Paid time off
- Paid holidays
Job Type: Full-time
Schedule:
- 8-hour shift
- Monday to Friday
Flexible work from home options available.
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PROMD PRACTICE MANAGEMENT INC