USA Clinics Group is seeking an experienced and highly detailed Medical Insurance Collection Specialist to join our Revenue Cycle team! The Medical Insurance Collection Specialist is the primary source for managing patient’s delinquent accounts including sending patients to collections. This position will hold the responsibility of arranging repayment agreements with the patient and assisting in other parts of the billing office as needed.
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote/Hybrid work is not an option.
Responsibilities:
- Contacts insurance carriers regarding claim status, denials, underpayments, and recoupments
- Be able to read and understand insurance eligibility and benefits
- Research & resolve outstanding claim issues and patterns
- Submit Appeals for Denied Claims
- Submit Medical Records and other documentation requests to insurance
- Ability to work on 40+ denied claims per day on the phone and provider portals
- Performs additional duties as assigned
Requirements:
- 1-or more year's previous experience in medical collections, required
- Ability to read and understand insurance remittance including denial and remark codes required
- Ability to understand the remittance denial codes and get claims reprocessed required
- Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials preferred
- Experience with multi state insurance denial collecting a plus
- Experience using Excel is a plus
- Experience with denials for Varicose veins, and/or Dialysis is a plus
- Familiar with provider portal eligibility and claim tools. Example: Availity, Navinet preferred
- Strong personality and willingness to rebuttal with insurance claims representatives to overturn denials
- Exceptional customer service and phone etiquette
- Ability to maintain effective and organized systems
- Ability to communicate effectively both verbally and in writing
Job Type: Full-time
Pay: From $25.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
Experience:
- Medical collection: 1 year (Required)
Ability to Commute:
- Northbrook, IL 60062 (Required)
Work Location: In person