What are the responsibilities and job description for the Medical Insurance Collection Specialist position at Hiregy?
#IND123
Job ID 23471 – Medical Insurance Collections Specialist
Location: Tarpon Springs, 34689 – This position is onsite
Pay: $20.00 to $22.00 per hour
Type: Contract, (2) month project
Schedule:
Job description:
- Follow up on outstanding, unpaid, and underpaid insurance claims to ensure timely reimbursement, utilizing electronic billing systems, phone outreach, and written correspondence.
- Investigate and resolve claim denials, rejections, and payment discrepancies by analyzing EOBs, remittance advices, payer policies, and account documentation.
- Prepare and submit corrected claims, appeals, and supporting documentation to insurance carriers in accordance with payer requirements and regulatory guidelines.
- Maintain accurate records of claim activity, payment status, and collection efforts within billing software and EMR systems to support compliance and audit readiness.
- Collaborate with insurance representatives, patients, coding, billing, and patient services teams to resolve complex account issues and maximize revenue cycle performance.
Nice to have:
- Solid knowledge of coinsurance
Requirements:
- Must understand medical insurance including deductibles
- Must have experience with verifying Medicare, Medicaid, and major commercial health insurance and secondary payers
- Experience with referrals and prior authorization
- Medical terminology and ICD-10
- Must be MS Office proficient including Excel
- High school diploma or equivalent
- Background check required
Salary : $20 - $22