Collections & Denial Management Specialist

Job Description

Job Description

Collections & Denial Management Specialist

Pay
$23-27/hr

Location
Downtown Brooklyn, in-office (100% on-site)

Summary
Seeking a detail-oriented Collections & Denial Management Specialist to join a dynamic team in downtown Brooklyn. This role involves managing a high volume of complex claims, including workers’ compensation, auto, no-fault, and personal injury claims, utilizing phone, email, portals, and chat channels. The ideal candidate will be a problem solver with experience in navigating complex claims to ensure timely payments and resolve unpaid, short-paid, or denied claims. The position offers opportunities for growth, a supportive working environment, and potential bonuses.

Requirements

• Minimum of 3+ years experience as a Medical Collector, Patient Account Representative, or Workers’ Compensation Specialist
• Proven ability to problem solve complex claims, particularly through portals, email, chat, and phone
• Experience handling high-dollar claims and multiple accounts per day
• Strong communication skills and soft skills for effective claim resolution
• No specific educational or certification requirements

Responsibilities

• Manage approximately 30 accounts daily, focusing on resolving unpaid, short-paid, partial paid, or denied claims
• Utilize phone, email, portals, and chat to identify and correct claim issues
• Work on complex claims such as workers’ comp, auto, and personal injury through various channels
• Collaborate with team members and utilize a problem-solving approach to maximize claim payments
• Maintain accurate documentation and follow-up to ensure claim resolution
• Contribute to team goals and support a collaborative work environment

Benefits

• In-office work environment in downtown Brooklyn
• Promotion opportunities within the team
• Potential for individualized bonus plans based on performance
• Supportive team with good morale and a great work environment
• Eligibility for year-end bonuses and additional incentives as plans are finalized

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