Insurance Collection Specialist
Hybrid - US
Insurance Collection Specialist
Full Time • Hybrid - US
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.
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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.
ProMD Medical Billing has been providing expert medical billing services since 2004. Our medical billing company is composed of an array of revenue cycle management (RCM) professionals, including certified medical billers and coders with more than 20 years of professional medical billing service experience. Our goal is to provide fast and accurate claim processing without sacrificing service. We strive to be every bit as accessible and responsive as any in-house medical billing staff, but without the expenses and operational headaches.
Our expert medical billing services take on the burden of all insurance and patient billing, keep up to date with all reimbursement and policy changes, make sure you are paid promptly and correctly, and help you increase reimbursements. As a medical billing outsourcing company, we have helped our clients grow their business by providing them with the resources they need to succeed while maintaining a competitive edge in today’s industry.
ProMD Medical Billing offers medical billing services to physicians and medical practices across the U.S. Our staff is 100 percent based in the United States. We provide both small and large medical practices with a complete medical billing solution including charge capture, insurance claim submission, denial management, accounts receivable (A/R) follow up, insurance payment posting, patient statement billing, and key performance indicator (KPI) reporting. Our medical billing company will work in conjunction with your EMR system.
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