Insurance Collections Specialist

Gastro Health; Miami (NM); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid holidays and paid time off

401(k) retirement plan

Job summary

Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team. You will act as a liaison between providers, patients, and payers to ensure correct charges, current transaction records, and timely account resolution.

This role features a Monday–Friday schedule with no weekends or evenings, competitive compensation, benefits, and opportunities for advancement within a rapidly growing practice.

Qualifications

• High school diploma or GED equivalent.
• At least 2 years’ experience in insurance collections.
• Knowledge of CPT, ICD-10, HCPCS.
• Knowledge with letters of appeal.
• Intermediate experience with Microsoft Excel and Office products.

Responsibilities

• Provides liaison between providers, patients, and payers to ensure correctness of charges and timely account resolution.
• Maintains active communications with insurance carriers until accounts are paid.
• Negotiates payment of current and past due accounts by phone and written correspondence.
• Updates patient account information.
• Monitors payer denial trends and flags patterns for supervision.
• Runs a monthly aging report based on DOS and current A/R to identify follow-up needs.
• Manages daily worklists for assigned insurances.
• Utilizes collection techniques per company policies and procedures.
• Reports coding-related denials to the Coding Specialist.
• Performs other duties including faxing information, generating retro requests, and verifying medical eligibility.
• Researches to ensure proper reimbursement of claims.

Skills

Insurance collections

Microsoft Excel

Office products

Education

High school diploma or GED

Tools

Microsoft Excel

Office tools

Job description

Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.

This Role Offers

• A great work/life balance
• No weekends or evenings – Monday thru Friday
• Paid holidays and paid time off
• Rapidly growing team with opportunities for advancement
• Competitive compensation
• Benefits package

Duties You Will Be Responsible For

• Provides liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
• Maintains active communications with insurance carriers and third-party carriers until account is paid
• Negotiates payment of current and past due accounts by direct telephone and written correspondence
• Updates patient account information
• Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor
• Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up
• Manages all assigned worklist on a daily basis for assigned insurances
• Utilizes collection techniques to resolve accounts according to company’s policies and procedures
• Reports any coding related denial to the Coding Specialist
• Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility
• Conducts necessary research to ensure proper reimbursement of claims
• Assists with special projects assigned by Billing Manager or Supervisor

Minimum Requirements

• High school diploma or GED equivalent
• At least 2 years’ experience in insurance collections
• 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 required
• Experience with HMO, PPO, and Medicare insurances
• Must be able to read, interpret, and apply regulations, policies and procedures

Benefits Package

• 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 program – discounts on concerts, travel, movies, and more

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.