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Gastro Health · 3 days ago

Insurance Collections Specialist

Miami, FL

Full-time

Onsite

Entry, Mid Level

2+ years exp

Gastro Health is one of the largest gastroenterology multi-specialty groups in the United States, seeking a Full-Time Insurance Collections Specialist to join their team. The role involves managing insurance collections, maintaining communication with insurance carriers, and ensuring accurate account resolution.

Health CareMedical

Responsibilities

Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution

Maintains active communications with insurance carriers and third-party carriers until account is paid

Negotiates payment of current and past due accounts by direct telephone and written correspondence

Updates patient account information

Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor

Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up

Manage all assigned worklist on a daily basis for assigned insurances

Utilize collection techniques to resolve accounts according to company’s policies and procedures

Report any coding related denial to the Coding Specialist

Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility

Conducts necessary research to ensure proper reimbursement of claims

Assist with special projects assigned by Billing Manager or Supervisor

Qualification

Insurance collections experienceMedical terminology knowledgeMicrosoft Excel proficiencyHMOPPOMedicare experienceResearch skillsCommunication skillsNegotiation skills