Insurance Collections Specialist

Gastro Health • Miami, FL

339d

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, a rapidly growing team with opportunities for advancement, competitive compensation, and a 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
• Manages all assigned worklist on a daily basis for assigned insurances
• Utilizes collection techniques to resolve accounts according to company’s policies and procedures
• Reports 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
• Assists with special projects assigned by Billing Manager or Supervisor

Benefits

• 401(k) retirement plans with employer Safe Harbor
• Harbor Non-Elective Contributions of 3%
• Discretionary profit-sharing contributions of up to 4%
• Health insurance
• Employer contributions to HSAs and HRAs
• Dental insurance
• Vision insurance
• Flexible spending accounts
• Voluntary life insurance
• Voluntary disability insurance
• Accident insurance
• Hospital indemnity insurance
• Critical illness insurance
• Identity theft insurance
• Legal insurance
• Paid time off
• Discounts at local fitness clubs
• Discounts at AT&T
• Discounts on concerts, travel, movies, and more through Tickets at Work

What This Job Offers

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