Collection Specialist

Description

Position Summary

The Collections Specialist is responsible for the recovery of unpaid debts related to Workers’ Compensation claims and Employment Services. This includes reviewing outpatient claims to ensure maximum reimbursement, performing timely follow-up, ensuring accurate billing in compliance with payer guidelines, and invoice billing to employers and TPAs.

Schedule: Monday through Friday, 8:00 AM to 5:00 PM

Compensation: Starting compensation range is $19.00-$21.00 per hour. Exact compensation may vary based on skills, experience, and location.

Responsibilities

• Review and analyze Workers’ Compensation claims to ensure accuracy and optimize reimbursement
• Review and analyze Employer and TPA invoices to ensure accuracy and optimize reimbursement
• Provide appropriate follow-up through heavy outbound calls and written correspondence to insurance companies, third-party administrators, adjusters, bill review organizations, employers, and TPAs
• Resubmit claims electronically as needed, submit corrected claims, and file appeals in accordance with payer requirement
• Follow-up calls on employer and TPA invoices
• Obtain claim status updates and take necessary actions to resolve outstanding balances
• Respond to inquiries from providers, and insurance companies professionally and promptly
• Access patient charts and billing information to confirm claims are processed accurately
• Maintain detailed and accurate documentation of all follow-up actions in the EMR.
• Ensure timely follow-up and resolution of accounts to reduce aging and improve collections
• Accurately enter data
• Other duties may be assigned per department needs
  
  

Requirements

• High school diploma or some college degree certificate or diploma.
• Experience reading and interpreting EORs, EOBs, and payer correspondence
• Minimum of 6 months of experience in medical collections, either in a physician’s office or a medical billing/collections company preferred; new grads welcome to apply!
• Experience reading and interpreting EOBs and resolving denied or unpaid claims independently
• Familiarity with Practice Management Systems, EHR/EMR platforms, and electronic billing software
• Knowledgeable in HIPAA regulations and best practices.
  
  

Benefits

• Comprehensive benefits package, including medical, dental, vision, life, and disability insurance
• 401(k) plan with employer match
• Paid time off and company-paid holidays
• Excellent work-life balance with no required nights, weekends, or holidays
  
  

Why You Should Join Our Team

Agile Occupational Medicine is a leading occupational medicine group with a network of 42 centers dedicated to providing comprehensive healthcare services to businesses and their employees across California and Yuma, Arizona. We specialize in ensuring the health and well-being of workers through a range of medical services, including work injury care and employer services.

We are a rapidly growing organization with a fun and collaborative work environment. We are passionate about disrupting the world of occupational medicine, and we are committed to providing our customers and patients with the best possible experience.

Agile Occupational Medicine is an Equal Opportunity Employer. Agile does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided upon qualifications, merit, and business need.