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Insurance Collections Specialist

Florida Medical Clinic Land O' Lakes, FL
  • Posted: over a month ago
  • Full-Time
  • Benefits: Vision, Medical, Life Insurance, 401k, Dental

Insurance Collections Specialist *Sign On Bonus for Eligible Preferred Specialty Experience*

The Insurance Specialist I is responsible for accounts receivable through insurance claims follow-up, denial management, and appeal. This position requires knowledge of Federal, State, and payor regulations, reimbursement methodologies, and communication with third party payors to facilitate timely and accurate reimbursement.

*Eligible for a yearly bonus based on performance*

*Flexible Schedule Options*

*Sign-On Bonus for confirmed experience in one of the following specialties*

Family Practice / Internal Medicine / Primary Care: $500

Pulmonology: $750

Cardiology / Oncology / Rheumatology: $1,000

Job Type: Full-time

Essentials Duties and Responsibilities include the following:

  • A good understanding of medical terminology, to include CPT codes, ICD-10 codes, modifiers, and payor policies/guidelines pertaining to assigned specialty
  • Interact with insurance carriers to check claim status and/or dispute denials by telephone and payor websites
  • Utilize payor websites and other resources to conduct research
  • Identify denial trends and communicates findings to leadership
  • Maintains AR over 90 days at or less than 9%
  • Contact patients for additional information when necessary
  • Meets daily, weekly, and monthly productivity quotas
  • Work special projects as assigned
  • Other duties as assigned
  • Understand, support and comply with policies, procedures and internal controls in accordance with best business practices across the organization

Job Qualifications:

  • Graduate of Health Insurance Specialist Certificate or Degree program preferred OR High School Diploma. Bachelors preferred.
  • Minimum two years billing, insurance follow-up, denials management experience – appeals.
  • Expert working knowledge of EOB’s, copay/coinsurance/deductibles, denial codes, insurance allowable, adjustments, write offs, Understanding of Managed Care contracts, denials and payor methodology.
  • Expert knowledge of UB and 1500 claim forms
  • Strong knowledge of Medicare, Medicaid, United, Aetna, Humana, Workers Comp and MVA payer and billing policies
  • Expert knowledge of CPT and ICD-10 codes
  • Knowledge of charge posting and EDI preferred
  • Ability to navigate different computer systems
  • Accounting Principles, Basic Office Skills required; advanced office skills are preferred.
  • Strong communication skills (oral and written); must be able to collaborate effectively and work in a team environment
  • Ability to work at a fast pace
  • Detail oriented with excellent organization skills
  • Ability to multitask and effectively manage numerous competing priorities
  • Excellent phone skills
  • Experience with Allergy/Endocrinology collections preferred

Physical and Mental Demands:

  • Normal physical ability to sit for long periods of time while on the phone.
  • Maintaining a positive and professional attitude.
  • Able to handle stressful situations.
  • Able to meet deadlines.

**To Apply Please Visit www.floridamedicalclinic.com/careers**

Florida Medical Clinic

Why Work Here?

We offer a wide choice of compensation and benefit programs that are among the best in the industry!

Address

Land O' Lakes, FL
USA

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