What are the responsibilities and job description for the Insurance Collection Specialist position at ProMD Medical Billing?
Fast paced Medical Insurance Billing company looking for experienced Insurance Collector (>2 years).
Must be have knowledge of medical appeal guidelines, including Medicare. CPC preferred. Experienced with OB, Cardiology, Orthopedic a plus. Need to be proficient with ICD-10 and coding guidelines.
Note: NOT a level entry position - must have coding experience to apply. Excellent benefits such as; paid vacation, paid holidays, medical insurance, 401K with employer contribution.
Requirements and/or Responsibilities:
- Experience and knowledge of Medicare, Medicaid, and Commercial HMO and PPO billing guidelines.
- Minimum of two years of experience in Medical Billing and Insurance follow up.
- In-depth knowledge of CPT, ICD-10, and HCPCS coding.
- Experience with Medicare and Medicaid billing guidelines and rules, insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments, experience with billing and collections of physician commercial insurances.
- Ability to process rejections and denials to determine if a claim needs to be refilled or submitted or appealed with the carrier.
- Review patient information to determine or identify claims denial causes.
- Validate and process all carrier appeal requests and patient adjustments.
- Attention to detail with the ability to multi-task in a fast paced environment.
- Ability to communicate effectively both written and verbal.
- Ability to trace multiple related transactions in the system and communicate the transactions to outside parties in a clear manner.
- Ability to learn multiple medical billing systems.
- Exceptional customer service and interpersonal skills.
- Must consistently demonstrate professional behavior and effectively.
- Ability to handle complex calls; identifying the problem and escalating issues as appropriate.
- Computer proficiency in Word, Excel, Outlook, along with general knowledge of internet navigation research, and medical billing systems (Intergy, edgeMED, E-clinical Works, Meditouch, Nextech, Allscipts PRO etc.).
- Ability to meet minimum (40/50) daily and monthly productivity and performance measures
- Ability to keep AR under the company benchmarks which is aged claims 121 under 18%
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
Work Location: In person
Salary : $18 - $21