Collections Specialist II

Job Summary

Managing accounts receivables for insurance carrier plan services, the full-time Collections Specialist II will focus on timely claims follow-up, payer corrections, and achieving departmental cash collection goals in a remote setting.

Key responsibilities

• Collect outstanding claims through direct payer contact and utilize payer websites for efficient claims processing
• Research and resolve payment issues/errors for insurance balances, ensuring timely filing and compliance with guidelines
• Collaborate with multiple departments to gather necessary information for resolving outstanding accounts receivable

Required qualifications

• High School Diploma or equivalent
• 3+ years of medical office or medical billing/collections experience in a hospital or centralized billing setting
• Knowledge of CPT, HCPCS, and ICD-9/10 codes
• Proficiency in Microsoft Office, particularly Excel and Word
• Familiarity with insurance explanation of benefits (EOB) and claims processing requirements