Managed Care/HMO/Insurance Biller and Collections

Paragon Management SNF; Baldwin (NY); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

Paragon Management SNF is seeking a Managed Care/HMO/Insurance Biller and Collections specialist in the Baldwin, NY area. Typical hours are Monday–Friday, 9:00am–5:00pm.

Responsibilities include check eligibility, billing/collection, AR follow-up, and handling denials and appeals. Strong communication, writing, and GL knowledge are valued. Competitive benefits offered with full-time employment and a $60,000–$80,000 annual salary.

Qualifications

• Experience in Insurance & MLTC billing preferred.
• Excellent communication skills.
• Confident talking on the phone to patients and insurance representatives.
• Good writing skills.
• Ability to multi-task in a fast-paced environment.
• Self-starter but able to work on a team and take direction.
• Understanding of General Ledger.
• Posting of Payments.

Responsibilities

• Check Eligibility via Insurance Websites and/or Telephone.
• Billing/collection.
• A/R follow-up unpaid or denied claims.
• Phone calls to insurance, request for Reprocessing.
• Denials, Insurance Appeals.
• Claimsfollow-up.
• Working denials.
• Determining appropriate next steps based on AR & Aging Reports.
• Reading and interpreting EOBs.
• Sending Corrected Claims.
• Calling insurance companies at various stages of the claims process.

Skills

Excellent communication

Phone etiquette

Good writing

Multi-tasking

Team player

General Ledger understanding

Posting payments

Job description

Managed Care/HMO/Insurance Biller and Collections

Monday – Friday · 9:00am -5:00pm

DESCRIPTION OF DUTIES:

• CheckEligibility via Insurance Websites and/or Telephone
• Billing/collection
• A/Rfollow-up unpaid or denied claims
• Phonecalls to insurance, request for Reprocessing
• Denials,Insurance Appeals

Responsibilities:

• Claimsfollow-up
• Workingdenials
• Determiningappropriate next steps based on AR & Aging Reports
• Readingand interpreting EOBs
• SendingCorrected Claims
• Callinginsurance companies at various stages of the claims process

Experience:

• Experiencein Insurance & MLTC billing preferred
• AdditionalSkills:
• Excellentcommunication skills
• Confidencetalking on the phone to patients and insurance representatives
• Goodwriting skills
• Abilityto multi-task and work in a fast-paced environment without gettingdistracted
• Self-starterbut able to work on a team and take direction
• Understandingof General Ledger
• Postingof Payments

Compensation:

• Competitivesalary
• ExcellentBenefits Package (medical, dental, vision, 401K)
• PaidTime Off

Job Type:Full-time

Salary:$60,000-$80,000 annually

Benefits:

• Dentalinsurance
• Healthinsurance
• Paidtime off
• Visioninsurance