Collections Specialist

The Collection Specialist is responsible to analyze and interpret claims are accurately sent to insurance companies and performs follow up with insurance companies on unpaid insurance claims.

Duties include:

• Responsible for contacting insurance companies to follow up on outstanding patient claims, verify coverage, resolve billing discrepancies, and, ensuring timely and accurate reimbursements from insurance payers
• Monitoring claims status from insurance agencies.
• Research rejections and denials from insurance agencies.
• When necessary, coordinate and clarifies information that seems incomplete or is lacking proper claims adjudication
• Process and respond to correspondences related to patient accounts.
• Receive Inbound calls from insurance companies and patients for claim reconciliation
• Interpret remits/ explanation of payments

Qualifications

• Previous experience in a medical office setting, hospital, and/ or experience with an Electronic Medical records is encouraged.
• Understanding of medical terminology and insurance laws/ guidelines is encouraged.
• Ability to learn quickly and work with minimal supervision.
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required.
• Proficient computer skills are necessary.