Collection Specialist

Collections SpecialistThe 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 PMCompensation: Starting compensation range is $19.00-$21.00 per hour. Exact compensation may vary based on skills, experience, and location.ResponsibilitiesReview and analyze Workers' Compensation claims to ensure accuracy and optimize reimbursementReview and analyze Employer and TPA invoices to ensure accuracy and optimize reimbursementProvide appropriate follow-up through heavy outbound calls and written correspondence to insurance companies, third-party administrators, adjusters, bill review organizations, employers, and TPAsResubmit claims electronically as needed, submit corrected claims, and file appeals in accordance with payer requirementFollow-up calls on employer and TPA invoicesObtain claim status updates and take necessary actions to resolve outstanding balancesRespond to inquiries from providers, and insurance companies professionally and promptlyAccess patient charts and billing information to confirm claims are processed accuratelyMaintain 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 collectionsAccurately enter dataOther duties may be assigned per department needsRequirementsHigh school diploma or some college degree certificate or diploma.Experience reading and interpreting EORs, EOBs, and payer correspondenceMinimum 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 independentlyFamiliarity with Practice Management Systems, EHR/EMR platforms, and electronic billing softwareKnowledgeable in HIPAA regulations and best practices.BenefitsComprehensive benefits package, including medical, dental, vision, life, and disability insurance401(k) plan with employer matchPaid time off and company-paid holidaysExcellent work-life balance with no required nights, weekends, or holidaysWhy You Should Join Our TeamAgile 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.