Medical Insurance Collector

Position Overview

Ultimate Staffing is actively seeking a Medical Insurance Collector for a reputable client located in Tarpon Springs, Florida. This role is ideal for an individual with a strong background in medical insurance collections and a desire to grow within a dynamic team. The Medical Insurance Collector will be responsible for managing the entire claims process, from billing to final resolution, ensuring accuracy and compliance with industry standards.

Responsibilities

• Follow up on claims from billing to final resolution, verifying claims status with insurance agencies.
• Review and prepare claims for electronic and hard copy billing resubmission.
• Manage denial and appeal processes on all payers, identifying and correcting billing errors.
• Resubmit claims to insurance carriers, providing review and remittance advice for payment errors, denials, and underpayments.
• Maintain courteous and professional interactions with patients, visitors, co-workers, and management.

Qualifications

• Strong organizational and communication skills.
• Capable of prioritizing workload, multi-tasking, and demonstrating attention to detail.
• Professional attitude and ability to maintain confidentiality at all times.
• Minimum of 2 years experience in insurance collections, including submitting and following up on claims from commercial, government, or private insurances.
• Ability to read and understand EOB's Claim Adjustment Reason Codes.
• Ability to identify, track, and report payer denial trends to management.
• Knowledge of ICD- and CPT codes and payer medical policies.
• Experience in Accounts Receivables for commercial, government, and managed care accounts.
• Experience in outpatient and/or hospital billing and collections/facility billing.
• Proficiency in MS Office; Excel skills are a must.
• Ability to work independently or within a team.
• Experience in NextGen is preferred but not required.

Required Work Hours

Monday - Friday, 8:00 AM - 5:00 PM

Benefits

• Medical, Dental, Vision, Life Insurance, 401(k) with match, PTO, and Holiday pay.
• Opportunity to grow and build a career with a longstanding, reputable organization.
• Career advancement opportunities.

Additional Details

Pay Rate: $22 - $24 per hour

For more information or to apply, please contact Rachael at or call View phone number on click.appcast.io.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.