Insurance Collection Specialist

ProMD Medical Billing; Miami (FL); Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Health insurance

Vision insurance

Life insurance

Paid time off

Paid holidays

Flexible schedule

Job summary

ProMD Medical Billing is seeking an experienced Medical Insurance Collection Specialist to join its Revenue Cycle Management division in Florida. The role focuses on medical billing, appeals, insurance verification, and leading a small team to maximize reimbursements for multispecialty providers.

Candidates should have proven experience in medical insurance collection, denial review, and Excel proficiency. We offer comprehensive training and opportunities for advancement.

Qualifications

• Proven experience in medical insurance collection.
• Strong knowledge of insurance verification processes.
• Proficiency in managing appeals and reviewing denials.
• Excellent written and verbal communication skills.
• Experience with Excel and multi-specialty billing guidelines.

Responsibilities

• Analyze reimbursement procedures and account activity to maximize reimbursement.
• Review and overturn denials; implement corrective actions.
• Identify denial trends for assigned clients and propagate improvements.
• Maintain client AR below 18% and meet daily targets.
• Utilize insurance portals to appeal denied claims.

Skills

Medical billing

Team leadership

Insurance verification

Communication skills

Appeals processing

Tools

Microsoft Excel

Job description

Medical Insurance Collection Specialist

ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Opportunity for advancement
• Paid time off
• Vision insurance
• 401(k) matching
• Flexible schedule

Medical Insurance Collection Specialist

ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Specialist. This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers.

Qualifications

• Proven experience in medical insurance collection department.
• Strong knowledge of medical appeal guidelines and insurance verification processes.
• Proficiency in managing appeals and conducting insurance verification.
• Strong communication skills (written and verbal).
• Proficient in Microsoft Excel.
• Knowledge of medical billing guidelines across multiple specialties, including but not limited to OB/GYN, Cardiology, Gastroenterology, and Primary Care.
• Note: This is not an entry-level position. Prior experience and hands‑on medical insurance collection experience are required.

Responsibilities

• Analyze reimbursement procedures and account activity to ensure maximum reimbursement.
• Review and evaluate denials to determine and implement required actions to overturn denials.
• Identify denial trends related to assigned clients in efforts to implement corrective actions.
• Achieve unit daily account average target and work deligently to maintain assigned client's AR below 18%.
• Utilize insurance portals to appeal denied claims.
• Focus on payer profiles, contract adherence, and denied claim resolution.


• Identify problem trends such as incorrect coding, carrier nonpayment patterns, and physician coding inconsistencies.
• Maintain and promote a positive, and professional work environment while maintaining strict confidentiality.
• Provide consistent support to clients, management, and team members.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance
• Life insurance
• Paid time off
• Paid holidays

Job Type

Full-time

Schedule

• 8-hour shift
• Monday to Friday

Flexible work from home options available.