Insurance Collections Specialist

Gastro Health•Cincinnati, OH

10d

About The Position

Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings – Monday thru Friday Paid holidays and paid time off Rapidily growing team with opportunities for advancement Competitive compensation Benefits package

Requirements

High school diploma or GED equivalent.
At least 2 years’ experience in insurance collections.
Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
Knowledge with letters of appeal.
Intermediate experience with Microsoft Excel and Office products is required.
Experience with HMO, PPO, and Medicare insurances.
Must be able to read, interpret, and apply regulations, policies and procedures

Responsibilities

Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
Maintains active communications with insurance carriers and third-party carriers until account is paid.
Negotiates payment of current and past due accounts by direct telephone and written correspondence.
Updates patient account information
Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
Manage all assigned worklist on a daily basis for assigned insurances.
Utilize collection techniques to resolve accounts according to company’s policies and procedures.
Report any coding related denial to the Coding Specialist.
Performs other duties including but not limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Conducts necessary research to ensure proper reimbursement of claims.
Assist with special projects assigned by Billing Manager or Supervisor

Benefits

Medical
Dental
Vision
Spending Accounts
Life / AD&D
Disability
Accident
Critical Illness
Hospital Indemnity
Legal
Identity Theft
Pet
401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees
Tickets at Work that provides discounts on concerts, travel, movies, and more.