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Claims Collection Representative

2 months ago


Dallas, Texas, United States Prestige Staffing Full time

Insurance Payment Specialist at Prestige Staffing



Compensation: $17- $19/hr. Based on Experience



Work Environment: On-Site



Assignment Duration: 90 days



Work Schedule: Monday to Friday, 8 AM - 4:30 PM



Key Qualifications:
• Proficient in collecting payments from commercial and government insurance
• Experience with EPIC and Excel
• Strong interpersonal skills
• Ability to manage high call volumes



As an Insurance Payment Specialist, you will be responsible for executing collection activities for designated accounts. Your role will involve:

  • Contacting insurance company representatives via phone or written communication to rectify inaccurate insurance payments and penalties in line with Managed Care agreements.
  • Maintaining comprehensive collection records within the accounts receivable system.
  • Engaging with insurance companies to address payment challenges and penalties owed.
  • Checking the status of claims, appealing or disputing payments and penalties through effective communication.
  • Possessing knowledge of CPT codes, contracting, per diems, and other relevant payment methodologies in the healthcare sector.
  • Conducting thorough research and calculations based on Managed Care Rate Grids and Contracts to ascertain the correct amounts due.
  • Entering data into Patient Accounting systems and databases to monitor payments and penalties.
  • Preparing legal documentation for accounts that are deemed uncollectable.
  • Ensuring the accuracy of account balances and correcting any discrepancies in contractual or payment entries.
  • Reviewing and responding to correspondence related to accounts diligently.

This position is vital in ensuring the financial health of the organization through effective collections and management of insurance accounts.