Collections Specialist

The Collections Specialist is responsible for effective communication and coordination with Insurance companies and clients to obtain the maximum benefits for our clients. You will establish relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet.

Onsite/Hybrid/Remote: Hybrid - 2 days at home - their choice after training

Responsibilities

• Review data on insurance policies to ensure accurate claim processing and payment.
• Accurately utilize the billing system.
• Create and submit claims if needed.
• Ensure corrected claims are submitted in a timely manner if needed.
• Follow-up with claims on a weekly basis, ensuring claims are received in a timely manner
• Prepare materials for submission to insurance companies as requested.
• Ensure unprocessed claims are followed up on timely.
• Develop and submit appeals, including supporting documentation as needed.
• Contact clients to collect on outstanding account balances. Process and send statements as needed.
• Maintain confidentiality of patient care and business.