Senior Insurance Collections Specialist (IN PERSON)

Senior Insurance Collections Specialist

Congress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of our clients. Our mission is to ensure that all Congress Billings clients have a proven low-cost RCM solution that provides maximized Insurance Reimbursements in the quickest attainable time possible. We will achieve this with the highest level of professionalism, ethics, and transparency. If you take pride in being the best, we want you on our team.

Your Role

At Congress Billing, you'll be handling collections of outstanding accounts receivable dollars from the existing client base, and all other aspects of collections, resolving insurance billing problems and reducing accounts receivable delinquency. You'll play a key role in meeting our success goals and helping our clients, with the support of a talented team.

Benefits

Being the best at what we do includes our team values of growth and respect. In addition to competitive pay, we offer quality health insurance, dental and vision, 401k matching, paid time off, and education tuition incentives. We have a top of the line training program to ensure you have the tools and support to excel. We believe in being the best, and that means setting our team up for success.

Requirements

To be considered for this position, you will need:

• Bachelor's degree (B.A./B.S.) from four-year college or university; or two to four years related experience and/or training; or equivalent combination of education and experience. Minimum of high school diploma or equivalent required.
• 5+ years of experience with a medical billing company or large healthcare organization
• Proven tenure: you've stayed and grown in your previous roles (minimum 2 years per role preferred)
• Hands-on experience with commercial insurance collections (out-of-network)
• Strong understanding of payer guidelines, billing/coding regulations, and CMS policies
• Proficiency in running and interpreting A/R and aging reports
• Experience managing or mentoring a team is a plus
• Quick learner and comfortable with multiple software platforms
• Strong communication, organizational, and problem-solving skills
• Project management experience is preferred

Responsibilities

• Manage and resolve escalated claims with a focus on behavioral health and out-of-network payers
• Analyze reports, track account trends, and organize data to identify problem areas
• Assist in leading a team of collections specialists setting performance goals, mentoring, and tracking progress
• Review payer guidelines, appeals, and denials to ensure regulatory compliance
• Communicate effectively with insurance companies to resolve claim issues and maximize reimbursement
• Take initiative in researching payer-specific issues and developing effective solutions
• Collaborate cross-functionally to support process improvements and project execution

Pay: $60,000 - $75,000 (Based on qualifications and experience)

Schedule: Full-time

Location: Delray Beach FL