Insurance Collection Specialist

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.
  
  

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.