Insurance Collections Specialist
1 week ago
Femwell Group Health is a leading management services organization dedicated to helping physicians run their practices more efficiently and effectively. With a focus on operational health, we enable our clients to focus on patient care.
Job SummaryWe are seeking a highly organized and detail-oriented Insurance Collections Specialist to join our team. In this role, you will provide insurance collections support to our Billing and Collections Clients, ensuring timely and accurate payment of medical claims.
Key Responsibilities- Liaise between Billing and Collections, Clients, and IKS to ensure seamless communication and coordination.
- Oversee revenue cycle and accounts receivable for multiple provider offices, identifying and resolving any issues that may impact payment.
- Review and complete tasks sent by IKS through the Optimix platform, ensuring accuracy and efficiency.
- Approve or deny appeals sent through the Optimix platform, maintaining compliance with HIPAA guidelines.
- Generate appeals and reconsideration letters as needed to resolve denials and underpayments.
- Perform follow-up activities on accounts to ensure prompt payment, monitoring insurance claims denials and identifying trends.
- Provide exceptional customer service to Billing and Collections Clients via email and phone calls, maintaining open lines of communication with the team and manager.
- High school diploma or equivalent.
- Experience working with Microsoft Office, specifically Excel, Outlook, and Word.
- Knowledge of commercial insurance and government payor guidelines, as well as medical terminology.
Femwell Group Health offers a dynamic and supportive work environment, with opportunities for growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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