Medical Collections Representative

Healthcare Support Staffing; Miami (FL); On-site; USD 40,000 - 50,000; Full time

Job summary

A national healthcare recruiting firm is seeking a candidate with 2-3 years of experience in claims processing and billing. The role involves investigating insurance claims, verifying patient eligibility, and updating records accordingly. Strong customer service skills and familiarity with the medical and insurance field concepts are preferred. This position is focused on ensuring accurate claims processing and maintaining efficient communication with insurance companies.

Qualifications

• 2-3 years experience in collections, claims, billing and/or processing insurance claims.
• Call center experience required.
• Familiarity with medical and insurance field concepts and procedures.

Responsibilities

• Investigate insurance claims and resolve them by follow-up.
• Bill private primary insurance claims and Medicaid states.
• Mail all paper claims and investigate updates to the ARMS database.
• Process denials and ensure accurate patient information.

Skills

Claims processing

Insurance verification

Customer service

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Claims Processing: investigate insurance claims; properly resolve by follow-up & disposition.

• Verify patient eligibility with secondary insurance company when necessary.
• Bill private primary insurance claims and all supplemental insurances including all Medicaid states on paper and online.
• Mailing of all paper claims.
• Investigate and update the ARMS database with all Remittance Advices received from secondary insurance companies.
• Ensure that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgment in any changes that may need to be made.
• Process denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.
• Check Verification: Investigate & ensure actual payment is received for all DOS payment notifications, prior to posting payment; update the CPPR database after receiving payment.
• Update patient files for insurance information, Medicare status, and other changes as necessary or required.

Qualifications

• 2-3 years experience in collections, claims, billing and/or processing insurance claims. Call center exp required!
• Medicare claims experience preferred.
• Familiarity with a variety of the medical &/or insurance field's concepts, practices, and procedures.
• Basic computer knowledge.