Billing/Insurance Collections Specialist

We are looking for an experienced BillingInsurance Collections Specialist to join our team. The ideal candidate will be responsible for managing the billing and insurance collection process, ensuring timely and accurate payments from insurance payors and patients, and maintaining detailed and up-to-date records. The successful candidate will have a strong attention to detail, excellent communication skills, and the ability to work independently as well as part of a team.ESSENTIAL DUTIES AND RESPONSIBILITIESThe BillingInsurance Collections Specialist is responsible for coordinating with insurance carriers to ensure the receipt of outstanding insurance claim payments, and performs a variety of insurance billing, data entry, and duties including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims payment status averaging around 25-35 accounts per day.Requirements Maintain individual office Insurance Accounts Receivable at an acceptable level as outlined by ManagementReviews and processes correspondence from patients and insurance carriers to ensure accuracy on insurance billing and procedures performedInsurance Follow-up with primary, secondary, and tertiary claims.Annotates adjustmentsupdates to patient accounts.Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payments.Denial Management to include payer denials and denial solutions.Use interpersonal and communications skills to obtain claims approval and payment information from various carriersSubmitting appeals to carriers for reasons such as medical necessity and bundlingReviews, analyzes, and maintains unbilled charge reports, denial reports, claim allocation reports and internal reports as municate issues and suggestions to improve processesEnsure compliance with Company policies, as well as State, Federal and other regulatory bodiesOther duties as assigned by the Office Manager, Billing Manager, andor Leadership teamMINIMUM QUALIFICATIONS 2+ years of experience in claims denials, rejections and appeals.Excellent communication and customer service skills.Ability to work independently as well as part of a team.Strong attention to detail and organizational skills.Knowledgeable or proficient in Clinical Documentation IntegrityProficiency in Microsoft Excel and other Microsoft Office Applications.Ability to multitask and prioritize workload in a fast-paced environment.Bilingual preferred (Cantonese andor Mandarin)Ability to work in office as well as remotely.BENEFITSCompetitive Health Benefits including Medical, Vision, Dental and Life Insurance401k retirement plan with a 6% corporate match Paid Time Off13 Paid HolidaysSalary - $40,000 - $50,000

Created: 2025-02-19