Medical Insurance Collector - 242265

Medix™; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a dynamic and supportive team as a Remote Denial Management Specialist with a leading healthcare company. You will play a crucial role in resolving denied claims and ensuring smooth revenue cycle operations while enjoying opportunities for growth and the benefits of a fully remote position.

Benefits

401(k) retirement plans

Health insurance

Flexible spending accounts

Paid time off

Discounts at local fitness clubs

Qualifications

• At least 1 year of experience managing denials (preferred on the Practice side).
• Ability to work standard EST hours.
• A quiet workspace for remote work.

Responsibilities

• Review accounts that have been billed and denied.
• Investigate the reasons for denials and strategize on resolutions.
• Process appeals and manage reconciliation.

Skills

Detail-oriented

Problem-solving

Communication

Education

High School Diploma or equivalent

Job description

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This range is provided by Medix. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$19.00/hr - $20.00/hr

Direct message the job poster from Medix

Are you a detail-oriented problem-solver with a knack for navigating the complexities of medical billing? ???? We're looking for a dedicated Remote Denial Management Specialist to join our social and fun team! This is your chance to be part of a company that's constantly growing, offers fantastic growth opportunities (we hire from within!), and boasts no turnover!

In this vital role, you'll be at the forefront of resolving denied claims, ensuring our revenue cycle runs smoothly. You'll dive deep into accounts, investigate denials, and work with payers to secure the reimbursement our providers deserve.

What You'll Be Doing Day-to-Day:

• Become a denial management expert! Review accounts that have been billed and denied.
• Investigate the "why": Meticulously review denials, determine the cause (timely filing, benefits, provider credentialing, etc.), and strategize on resolutions.
• Take action: Process appeals, manage reconciliation, and handle write-off requests. ️
• Stay organized: Log in daily, manage your worklist (busiquate), and prioritize tasks effectively.
• Be the communication hub: Liaise between healthcare providers, patients, and insurance carriers to resolve account issues.
• Master account resolution: Utilize collection techniques and negotiate payment for current and past-due accounts via phone and written correspondence.
• Keep records pristine: Accurately update patient account information.
• Identify trends: Monitor and identify payer denial patterns, communicating these to your supervisor.
• Analyze A/R: Run monthly aging reports to identify accounts requiring follow-up.
• Collaborate: Report any coding-related denials to the Coding Specialist.
• Be a problem-solver: Conduct necessary research to ensure proper claim reimbursement, generate retroactive authorizations, and verify medical eligibility.
• Support the team: Assist with special projects as assigned by the Billing Manager or Supervisor.

Why You'll LOVE Working With Us: ️

• Fully Remote: Enjoy the flexibility of working from home! (EST hours preferred)
• Growth Opportunities: We're constantly growing, leading to new leadership positions. We believe in promoting from within!
• Amazing Team Culture: Join a social, fun, and supportive team, even while working remotely!
• No Turnover: A testament to our great work environment!
• Comprehensive Training: 1st day with the team lead, shadow the lead for the rest of the week, and then work more independently by week 2 (depending on how quickly you pick things up!).

Once You Become a Permanent Employee, Unlock These Amazing Benefits:

• 401(k) retirement plans with employer Safe Harbor
• Harbor Non-Elective Contributions of 3%
• Discretionary profit-sharing contributions of up to 4%
• Health insurance
• Employer contributions to HSAs and HRAs
• Vision insurance
• Flexible spending accounts
• Voluntary life insurance & disability insurance
• Accident, Hospital indemnity & Critical illness insurance
• Identity theft & Legal insurance
• Paid time off ️
• Discounts at local fitness clubs & AT&T

What You Need to Bring (Must-Haves):

• At least 1 year of experience managing denials (Practice/Physician denials experience preferred over Hospital side).
• High School Diploma or equivalent.
• Ability to work standard EST hours (preference for candidates on the East Coast side of the US).
• A quiet, dedicated workspace for remote work.

Bonus Points If You Have (Nice-to-Haves):

• Exposure/background in infusion and/or interventional radiology.
• Reside in Ohio, Virginia, Maryland, Florida, Massachusetts, or Alabama.

The Ideal Candidate Is:

• A team player who enjoys interacting with colleagues.
• An excellent and timely communicator. ️
• Highly detail-oriented and notes-oriented – someone who can follow the paper trail!
• Proactive in asking questions.
• Patient, especially when learning new processes.

The Details: ️

• Pay: $19-$20 per hour, paid weekly!
• Schedule: Flexible, Monday-Friday. Start as early as 7 AM EST or as late as 9 AM EST. Consistent schedule preferred (30 min or 1-hour lunch).
• Equipment: We provide the equipment! (All boxes must be kept. A $10 IT deposit is taken from each paycheck and repaid upon equipment return at contract end).
• Metrics: Expect to handle 30-35 claims per day.
• Start Date: Takes approximately 3 weeks from offer (IT ships equipment after background check clears).

Ready to take on this exciting remote challenge and grow with a supportive team? Apply Today! ️ We're committed to a quick interview process!

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing

• Industries

  Hospitals and Health Care

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Medical insurance

Vision insurance

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