Medical Billing & Insurance Collections Specialist

About the position

As an Insurance Collections Specialist, you will be responsible for managing and following up on outstanding insurance claims, resolving denials, and ensuring timely corrections for a high-volume portfolio. This position will work closely with the Manager of Revenue Cycle.

Responsibilities

• Utilizing a dialer to contact insurance companies and follow up on claim status, request payment, and resolve denials or delays.
• Review and work insurance denial codes and take corrective action as needed.
• Responsible for interacting with USA Vein Clinics leadership and providing regular performance updates.
• Properly document all insurance interactions.
• Analyze and correct claims using appropriate CPT, ICD-10, Dx codes.
• Resubmit corrected claims and appeals in a timely and accurate manner.
• Ensure all collection efforts are compliant with all applicable rules and regulations.

Requirements

• 3+ years of medical collections experience (clinic or hospital setting preferred).
• Strong interpersonal skills.
• Problem solving and conflict resolution abilities.
• Extensive knowledge of the use of email, internet; ability to effectively use payer websites and Microsoft Products: Outlook, Word, Excel.
• Strong knowledge of CPT, ICD-10, Dx codes.
• Proficiency in insurance denial management, and EOB/EOR interpretation.

Nice-to-haves

• Spanish fluency preferred.

Benefits

• Paid training.
• Health/Vision/Dental Insurance.
• PTO and sick time.
• 401k.