Insurance Collection Specialist

Job Summary

To ensure timely collection of outstanding balances, the full-time Insurance Collection Specialist will manage assigned accounts remotely, utilizing A/R reports and payer guidelines while assisting in training new collection specialists.

Key responsibilities:

• Timely follow-up on assigned accounts to ensure effective collection of outstanding balances
• Utilize resources for claims resolution and manage denials through understanding of ICD-10, CPT-4, and modifiers
• Review medical documentation to support appeals and assist in training new collection specialists

Required qualifications:

• High School diploma or equivalent; completion of an accredited Certified Coding Specialist program is desired
• Minimum of 5 years of experience in billing, collections, and appeals
• Proficiency in MS Word and Excel
• Knowledge of medical terminology and insurance verification applications
• Understanding of ICD-10, CPT-4, and associated modifiers