Medical Insurance Collections Specialist

Description

 Location: On-Site Boca Raton, FL

We are seeking an experienced Medical Insurance Collections Specialist to join our healthcare team. The ideal candidate will have strong knowledge of medical billing and insurance collections. This role is responsible for resolving outstanding insurance claims, following up on unpaid balances, and ensuring timely reimbursement from insurance carriers.

Responsibilities

• Follow up on unpaid or denied medical insurance claims 
• Review and resolve claim rejections, denials, and underpayments 
• Communicate with insurance companies regarding claim status and appeals 
• Work aging reports and maintain collection goals 
• Verify patient insurance eligibility and benefits 
• Collaborate with billing, coding, and clinical staff to resolve account issues 
• Maintain compliance with HIPAA and payer regulations 
• Utilize telehealth billing knowledge to ensure proper claim submission and reimbursement 
• Work within eClinicalWorks for account review, documentation, and claim management 

Requirements

Qualifications

• Minimum 2 years of medical insurance collections experience 
• Knowledge of CPT, ICD-10, and insurance guidelines 
• Familiarity with Medicare, Medicaid, and commercial payers 
• Strong attention to detail and problem-solving skills 
• Excellent communication and organizational abilities 
• Ability to work independently and meet productivity goals 

Benefits

• Competitive salary 
• Paid time off and holidays 
• Health insurance benefits 
• Supportive team environment 

To Apply:
Please submit your resume and a brief summary of your medical collections and telehealth experience.