Job Description
The Insurance Collection Specialist is responsible for the collections of insurance claims. Essential to this position is the ability to manage all insurance follow up for maximum insurance reimbursement.
To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials and resolving unpaid claims.
Responsible for ensuring accurate payment posting from both patients and insurance providers.
JOB SPECIFIC FUNCTIONS :
Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance.
Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carriers.
Research, appeal, and resolve unpaid insurance claims.
Actively follow up and collect on all electronic claims, including resolution of any billing errors assigned following established procedures.
Respond to correspondence from insurance carriers.
Payment posting of patient account payments and insurance payments.
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