Remote Insurance Claims Jobs in Jupiter, FL (NOW HIRING)

Job Title: Collections Specialist on site in Boca Raton, FL 
Department: Collections Reports To: Collections Manager FLSA Status: Non-Exempt

About Remedial Pro
Remedial Pro is a leading behavioral health revenue cycle management company specializing in medical billing, collections, utilization review, and insurance verification for substance abuse and mental health treatment providers. Our mission is to help healthcare organizations improve operational efficiency and financial performance while enabling clinicians to focus on patient care.

Position Summary
The Collections Specialist is responsible for managing assigned accounts receivable for multiple healthcare facilities by ensuring timely follow-up on unpaid insurance claims, resolving claim issues, reducing aging accounts, and maximizing reimbursement. This position requires strong analytical skills, excellent communication, attention to detail, and the ability to work efficiently in a fast-paced medical billing environment.

Essential Duties and Responsibilities
• Manage accounts receivable for an assigned portfolio of healthcare facilities.
• Review and follow up on outstanding insurance claims and unpaid patient balances.
• Contact commercial insurance companies, government payers, and other third-party payers to determine claim status and obtain payment.
• Investigate denials, underpayments, and claim rejections to identify root causes.
• Work with internal billing staff to resolve claim issues requiring corrections or rebilling.
• Submit appeals with supporting documentation when appropriate.
• Monitor aging reports and prioritize accounts to ensure timely follow-up.
• Document all collection activities accurately within the billing software.
• Identify trends in denials or payment delays and communicate findings to management.
• Meet productivity and quality standards established by the department.
• Maintain compliance with HIPAA, payer guidelines, and company policies.
• Collaborate with Billing, Payment Posting, Credentialing, and Utilization Review teams to resolve reimbursement issues.
• Participate in departmental meetings, training, and process improvement initiatives.
• Perform other duties as assigned.
 

Qualifications
Education
High school diploma or GED required.
Associate degree in Healthcare Administration, Business, or related field preferred.

Experience
Minimum of 2 years of medical collections or healthcare accounts receivable experience preferred.
Experience with behavioral health, mental health, or substance abuse billing is preferred.
Experience working with commercial insurance, Medicaid, Medicare, and managed care plans.
Experience using electronic medical records (EMR) and medical billing software.

Knowledge, Skills & Abilities
Strong understanding of medical billing and collections processes.
Knowledge of insurance claims, EOBs, ERAs, denials, appeals, and reimbursement methodologies.
Excellent organizational and time management skills.
Ability to prioritize workload while managing multiple facilities simultaneously.
Strong problem-solving and critical thinking abilities.
Excellent written and verbal communication skills.
Proficient in Microsoft Office, especially Excel.
Ability to work independently while contributing to a collaborative team environment.
High level of professionalism and confidentiality.

Performance Expectations
Maintain assigned aging accounts within departmental goals.
Meet daily productivity standards for account follow-up.
Accurately document all account activity.
Resolve claim issues in a timely manner.
Consistently meet quality assurance standards.
Demonstrate professionalism in all payer and client interactions.
Contribute to departmental process improvements and team success.

Physical Requirements
Prolonged periods of sitting and computer use.
Ability to view computer screens for extended periods.
Occasionally lift up to 15 pounds.

Work Environment
Office or remote work environment, depending on company policy.
Fast-paced environment requiring strong attention to detail and multitasking.

Preferred Characteristics
We are looking for someone who is:
Detail-oriented
Self-motivated
Results-driven
Organized
Dependable
Adaptable to changing priorities
A team player with a positive attitude
Committed to delivering exceptional service to both clients and teammates

• Competitive compensation
• Paid Time Off (PTO)
• Paid Holidays
• 401(k) Retirement Plan
• Health, Dental, and Vision Insurance
• Professional growth and development opportunities

This role plays a critical part in ensuring our clients receive timely reimbursement while supporting the financial health of the facilities we serve.