Insurance Collections Specialist

🔥 4 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gastro Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Secondary Market on 2021-05

Healthcare • Healthcare Insurance

Gastro Health is a healthcare provider specializing in gastroenterology, offering a wide range of services including colonoscopy, endoscopic ultrasound, and flexible sigmoidoscopy. They have multiple care centers such as surgery centers, infusion centers, and specialty pharmacies. They provide treatments for conditions like heartburn, Crohn's disease, and ulcerative colitis, along with specialty services like colorectal surgery and endoscopic weight loss. Additionally, they offer telehealth services and nutrition therapy, focusing on both adult and pediatric care.

📋 Description

• Lead and support the insurance collections team in accounts receivable management • Ensure timely and accurate resolution of insurance claims, denial management, and underpayment trends • Serve as a subject matter expert and manage first-level escalations • Streamline workflows and mentor team members • Handle complex claims and payer issues • Participate in training, audits, reporting, and process improvement initiatives • Work closely with management to support strategic RCM goals, comply with policy changes, and drive operational excellence • Liaise between healthcare providers, patients or responsible persons, and revenue sources • Maintain communications with insurance and third-party carriers until accounts are paid • Negotiate payment of current and past due accounts by telephone and written correspondence • Update patient account information • Monitor payer denial trends and problem accounts and communicate patterns to the supervisor • Run monthly aging reports based on DOS and current A/R • Manage assigned insurance worklists daily • Use collection techniques to resolve accounts according to company policies and procedures • Report coding-related denials to the Coding Specialist • Fax information, generate retroactive authorization requests, and verify medical eligibility • Research claims to ensure proper reimbursement • Assist with special projects assigned by the Billing Manager or Supervisor

🎯 Requirements

• Experience with a large, growing healthcare organization supporting 100 or more providers and overseeing 10+ team members • At least 3 years’ experience in insurance collections • Experience with large healthcare billing systems (over 100+ providers) a plus • Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS) • Knowledge with letters of appeal • Intermediate experience with Microsoft Excel and Office products is required • Experience with HMO, PPO, and Medicare insurances • 5+ experience in healthcare industry • 1+ years of supervisory experience/leading a team in healthcare revenue management cycle roles encompassing all phases of the revenue cycle management • Must be able to read, interpret, and apply regulations, policies and procedures

🏖️ Benefits

• A great work/life balance • No weekends or evenings – Monday thru Friday • Paid holidays and paid time off • Opportunities for advancement • Competitive compensation • Medical • Dental • Vision • Spending Accounts • Life / AD&D • Disability • Accident • Critical Illness • Hospital Indemnity • Legal • Identity Theft • Pet • 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees • Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees • Tickets at Work discounts on concerts, travel, movies, and more