Medical Insurance Collector

Resolve Pain Solutions • Baton Rouge, LA

2d • Hybrid

About The Position

We are seeking an experienced Medical Insurance Collector to support our Workers’ Compensation and Self Pay accounts. This role is responsible for ensuring accurate, timely, and efficient collection of payments for services rendered by thoroughly researching unpaid or underpaid claims and resolving billing issues.

Requirements

• High school diploma or GED required.
• 3-4 years of experience in Workers Comp collecting.
• Experience in maintaining patient confidentiality according to the HIPAA standards of privacy and security.
• Must be able to identify why Claims were not paid.
• Be able to read all aspects of an EOB.
• Identify denial reasons for Workers Comp Claims.
• File appeals.
• Process write offs/adjustments and process refunds.
• High attention to detail and accuracy in documentation.
• Ability to manage multiple priorities and work independently with minimal supervision.
• Critical thinking, problem solving, and decision-making skills in a fast-paced environment.
• Ability to remain seated at a workstation for extended periods (typically 6–8 hours per day).
• Ability to use a computer keyboard, mouse, telephone, and standard office equipment.
• Must be able to read, analyze, and interpret electronic documents and reports.
• Occasional light lifting of files, supplies, or equipment (up to 15 pounds).

Nice To Haves

• Associate or bachelor’s degree in healthcare administration, business, or a related field preferred.
• Experience in medical billing, claims review, and/or accounts receivable is preferred.

Responsibilities

• Ensure payments for services are collected in a timely, efficient, and accurate manner
• Meet all deadlines and timeframes for completion of assignments.
• Maintain a harmonious relationship with other employees in order to accomplish the duties and responsibilities of the position.
• Work efficiently and manage time wisely.
• Assist other employees when all duties are complete or as dictated by significant need.
• Communicate problems, difficulties, or concerns regarding job duties to the Operations Manager.
• Perform all duties consistently and without significant error.
• Maintain patient confidentiality according to the HIPAA standards of privacy and security.
• Adhere to the Personnel Policies Manual and its contents.
• Perform other reasonable duties as assigned by Operations Manager.

Benefits

• Standard office environment or approved remote work setting.
• Requires reliable internet connectivity for remote or hybrid roles.
• Work involves frequent interaction with payers via phone and digital communication channels.
• Maintain confidentiality and compliance in all work locations.
• Maintain a neat and organized work area.

What This Job Offers

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