Insurance Manager Collections Specialist

4 days ago


Vero Beach, Florida, United States Medix Full time

**Job Summary:**

We are seeking an experienced Insurance Manager Collections Specialist to join our team at Medix. The successful candidate will be responsible for leading our collections efforts and ensuring the highest level of customer satisfaction.

**Key Responsibilities:**

  • **Meet Revenue Budget:**
    • Responsible for meeting monthly revenue budget for two offices
  • **Client Relationships:**
    • Works with operations manager to ensure good client relationships and provides feedback during conference calls as necessary
  • **Staff Management:**
    • Recruits staff and oversees training, cross training and development
    • Counsels staff as appropriate and handles personnel issues including reviews and disciplinary actions
  • **Administrative Tasks:**
    • Assists support manager with placement files, payment posting, and reconciliation
  • **New Client Implementation:**
    • Actively engages in implementation of new clients
  • **Departmental Meetings:**
    • Conducts departmental meetings

**Qualifications:**

  • **Education and Experience:**
    • High school diploma with at least three years of experience in the collections or hospital insurance collections business or the equivalent
  • **Knowledge and Skills:**
    • A firm grasp of healthcare A/R Cycle
    • Experience managing a large staff preferably in a hospital business office, multi-physician practice, CBO or collection agency insurance department
    • Knowledge of HIPAA, FDCPA & FCRA laws and must successfully complete the FDCPA and HIPAA Standards exams
    • Ability to work Monday through Friday during normal working hours
    • Medicare/Medicaid, Commercial, Auto, Work Comp, Liability, Crime Victims and State and Federal Insurance Programs
    • Functional knowledge of multi-patient accounting systems such as Epic, MediTech, McKesson Star, AS400, etc.
    • Understand ICD9, ICD10, DX, HCPCS, CPT codes and DRGs
    • Ability to interpret EOB's, denials and medical records data


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