Medical Billing & Collections: Denials & Appeals Expert

Insight Global; Columbia (MD); On-site; USD 40,000 - 65,000; Full time

Job summary

Insight Global is seeking a Medical Billing & Collections Specialist to join a healthcare revenue cycle team in Columbia, MD. This role is heavily focused on insurance collections, complex claim denials, and appeals management.

Ideal candidate has 2+ years in medical billing and collections, experience with commercial insurance, Medicare, and Medicaid payers, and a proven track record of recovering reimbursements.

Qualifications

• Must have 2+ years of medical billing and collections experience.
• Experience with complex insurance denials and appeals.
• Knowledge of commercial insurance, Medicare, and Medicaid guidelines.

Responsibilities

• Manage and resolve complex denied, underpaid, and outstanding insurance claims.
• Conduct follow-up with insurance carriers to secure reimbursement on unpaid accounts.
• Research claim denials and identify appropriate corrective actions.
• Prepare, submit, and track first-level and second-level appeals.
• Work extensively with commercial insurance, Medicare, and Medicaid payers.
• Analyze EOBs and remittance advice to determine denial root causes.
• Escalate and resolve high-dollar or complicated reimbursement issues.
• Maintain documentation of collection efforts, appeals activity, and claim resolutions.
• Meet productivity and quality standards while working assigned accounts.

Skills

Analytical skills

Communication

Problem solving

Attention to detail

Education

High School Diploma or GED

Job description

Insight Global is seeking a Medical Billing & Collections Specialist to join a healthcare revenue cycle team in Columbia, MD. This role is heavily focused on insurance collections, complex claim denials, and appeals management.

Ideal candidate has 2+ years in medical billing and collections, experience with commercial insurance, Medicare, and Medicaid payers, and a proven track record of recovering reimbursements.