Insurance Collection Representative

CareersUSA
Location: Coral Gables, Florida
Full-time

CareersUSA, a leader in the staffing industry with over 42 years of experience, has another job opportunity for you :

Our Client is seeking a Insurance Collections Specialist .

Earn an hourly rate at this full-time position. Work Monday through Friday from 8 : 00 AM to 4 : 30 PM.

Job Description :

  • Ensure timely follow-up on assigned accounts using AR reports and account maintenance activities to facilitate the prompt collection of outstanding balances
  • Utilize available resources to resolve claims effectively
  • Review medical record documentation and understand the documentation needed to overturn denials issued by insurance companies
  • Use compendia resources to assist in medical necessity appeals
  • Assist in the training of new collections specialists

Job Requirements :

  • High School Diploma or equivalent (GED)
  • 3 to 5 years of collections, billing, and appeals experience
  • Proficient with Microsoft Office Suite (Word, Excel, Outlook)
  • Completion of an accredited Certified Coding Specialist program preferred
  • Knowledge of medical terminology, explanation of benefits, and insurance verification applications
  • Knowledge and understanding of ICD-10, CPT-4, and associated modifiers
  • Understanding of the different levels in the appeals process to optimize recovery efforts
  • Understanding of the components of the FDA Label
  • Excellent written and verbal communication skills
  • Problem solver with attention to detail
  • 30+ days ago
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