Insurance Collections Specialist

Gastro Health • Miami, FL

38d • Onsite

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, Rapidly 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 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 program that provides discounts on concerts, travel, movies, and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED