Position Summary This position is 100% remote.# We will only consider remote applicants residing in the following US states # AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI. The#Collections Specialist#is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems. # Minimum Requirements # Education

Highs School Diploma or equivalent

Experience

3#years medical office or medical billing/collections experience in a hospital or centralized billing setting. Must possess knowledge of CPT, HCPCS, and ICD-9/10 codes. Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes. Be familiar with#multiple payer requirements for claims processing Solid skills with Microsoft office with a focus on Excel and Word.# Good Communication Skills # License/Registration/Certifications

N

/A # Preferred Requirements # Preferred Education

N

/A # Preferred Experience

4+ years# experience in a centralized billing setting.# Payer Focused collections experience# Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc. Experience with multiple specialty billing, collections and denials# Preferred License/Registration/Certifications

N/A # Core Job Responsibilities # Collections of all outstanding claims by direct payer contact, utilization of payer websites, and through EDI/Claims systems.# Research and Resolve all payments issues/errors for insurance balances.# Responsible to complete all error corrections and insurance updates to the facility/professional claim in order to resolve outstanding denial/issue preventing payment.

Complete claim corrections

, coding research requests, as needed to manage outstanding AR. Responsible for handling all retro-authorizations for multiple payers.# Must possess the ability to work in different systems including claims eligibility, online payer claims system, case management as well as all AR management systems.# Work payer denials and perform all necessary rework for reimbursement of denied services.# Work closely with multiple departments to obtain necessary information to resolve outstanding AR.## Update and verify insurance records as needed to correct outstanding accounts. Must have working knowledge of registration, payment posting, error correction and other billing functions. Manage time and#job responsibilities in order to meet monthly goals Exhibit professionalism and good customer service skills.# Other duties as assigned.

Position Summary

This position is 100% remote. We will only consider remote applicants residing in the following US states - AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI.

The Collections Specialist is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems.

Minimum Requirements

Education

• Highs School Diploma or equivalent

Experience

• 3 years medical office or medical billing/collections experience in a hospital or centralized billing setting.

• Must possess knowledge of CPT, HCPCS, and ICD-9/10 codes.

• Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.

• Be familiar with multiple payer requirements for claims processing

• Solid skills with Microsoft office with a focus on Excel and Word.

• Good Communication Skills

License/Registration/Certifications

• N/A

Preferred Requirements

Preferred Education

• N/A

Preferred Experience

• 4+ years' experience in a centralized billing setting.

• Payer Focused collections experience

• Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc.

• Experience with multiple specialty billing, collections and denials

Preferred License/Registration/Certifications

• N/A

Core Job Responsibilities

• Collections of all outstanding claims by direct payer contact, utilization of payer websites, and through EDI/Claims systems.

• Research and Resolve all payments issues/errors for insurance balances.

• Responsible to complete all error corrections and insurance updates to the facility/professional claim in order to resolve outstanding denial/issue preventing payment.

• Complete claim corrections, coding research requests, as needed to manage outstanding AR.

• Responsible for handling all retro-authorizations for multiple payers.

• Must possess the ability to work in different systems including claims eligibility, online payer claims system, case management as well as all AR management systems.

• Work payer denials and perform all necessary rework for reimbursement of denied services.

• Work closely with multiple departments to obtain necessary information to resolve outstanding AR.

• Update and verify insurance records as needed to correct outstanding accounts.

• Must have working knowledge of registration, payment posting, error correction and other billing functions.

• Manage time and job responsibilities in order to meet monthly goals

• Exhibit professionalism and good customer service skills.

• Other duties as assigned.