Demo

Medical Insurance Collections Specialist

Compassion Behavioral Health
Boynton, FL Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 5/22/2025

Job Description

Job Description

Salary :

We're looking for an experienced insurance Collector. The Collections Specialist will be responsible for performing typical collection functions such as claim status, working the A / R, filing corrected claims, filing appeals as needed and posting payments.

Responsibilities :

  • Review data on insurance policies to ensure accurate claim processing and payment.
  • Ensure that any corrected claims are submitted in a timely manner.
  • Prepare materials for submission to insurance companies as requested.
  • Ensure that open claims are followed up timely.
  • Create and submit status reports on a weekly basis.
  • Develop and submit appeals, including necessary supporting documentation, as required for claims reimbursement.
  • Reprocess any underpaid claims.
  • Maintain confidentiality of patient care and business.
  • Demonstrate strong, professional communication and interpersonal skills with clients, public, managers and co-workers.
  • Perform general office duties as needed.
  • Maintain accurate and thorough records.
  • Demonstrate the ability to act as a team player in a professional and positive manner.

QUALIFICATIONS :

  • 2-3 years experience and knowledge of medical claims. Self-starter with strong billing, coding, and claims follow-up skills.
  • Behavioral health / mental health service line and billing experience preferred
  • Experience communicating with payers to resolve issues.
  • Proficient with Excel and data analysis
  • Ability to navigate occasionally complex workflows.
  • Strong attention to detail.
  • Technically savvy with claims billing software and Microsoft Office, KIPU OR other EMR systems with a desire to learn new software as well.
  • Strong communication and interpersonal skills.
  • Experience with CollaborateMD a plus!!!!
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