Medical Billing and Collector Specialist

Central Magnetic Imaging North•Miami Gardens, FL

1d•$19 - $22

About The Position

Key Responsibilities Review and work insurance accounts receivable to ensure timely collection of payments Follow up on unpaid, denied, or underpaid claims with insurance companies Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) Identify, investigate, and resolve claim denials and payment discrepancies Submit corrected claims, appeals, and reconsiderations as needed Verify insurance benefits, coverage, and authorization status when required Maintain accurate documentation of all collection activity and payer communication Communicate effectively with billing, coding, front desk, and clinical staff Ensure compliance with insurance guidelines, contracts, and regulations Meet productivity and collection goals while maintaining quality standards Verification and Authorization Responsibilities: Verify medical insurance Contact suited parties to obtain needed information to verify benefits Calculate out of pocket expenses for patients Obtain authorization Obtain medical records and notes from doctors’ offices Send medical records and notes to insurance for authorization Follow up on previous requested authorization Speak to clinical technician when needed on authorizations Download EFT payments and verify they are posted correctly Accurate data entry Manage clearing house (Optum) Correct and resubmit any denials from health insurance companies Qualifications:

Requirements

Minimum 2-3 years' experience in health insurance collection and verification
Minimum 2-3 year's experience using EMR systems, Availity, Optum health insurance provider portals
Experience using Evicore or authorization online portals

Responsibilities

Review and work insurance accounts receivable to ensure timely collection of payments
Follow up on unpaid, denied, or underpaid claims with insurance companies
Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA)
Identify, investigate, and resolve claim denials and payment discrepancies
Submit corrected claims, appeals, and reconsiderations as needed
Verify insurance benefits, coverage, and authorization status when required
Maintain accurate documentation of all collection activity and payer communication
Communicate effectively with billing, coding, front desk, and clinical staff
Ensure compliance with insurance guidelines, contracts, and regulations
Meet productivity and collection goals while maintaining quality standards
Verify medical insurance
Contact suited parties to obtain needed information to verify benefits
Calculate out of pocket expenses for patients
Obtain authorization
Obtain medical records and notes from doctors’ offices
Send medical records and notes to insurance for authorization
Follow up on previous requested authorization
Speak to clinical technician when needed on authorizations
Download EFT payments and verify they are posted correctly
Accurate data entry
Manage clearing house (Optum)
Correct and resubmit any denials from health insurance companies