Claims Recovery Specialist

2 days ago


Dallas, Texas, United States Della Infotech Full time
Job Title: Claims Recovery Collector

We are seeking a highly skilled Claims Recovery Collector to join our team at Della Infotech. As a Claims Recovery Collector, you will be responsible for reviewing and analyzing delinquent accounts receivable, identifying outstanding insurance claims, and determining appropriate action steps for recovery.

Key Responsibilities:
  • Review and analyze delinquent accounts receivable to identify outstanding insurance claims.
  • Initiate contact with insurance companies to discuss outstanding claims and negotiate payment.
  • Follow up with insurance carriers to obtain claim status updates and investigate reasons for non-payment.
  • Maintain accurate and up-to-date records of all communication and activities related to claim recovery efforts.
  • Engage in negotiation discussions with insurance companies to secure timely payment of outstanding claims.
  • Prepare and submit appeals for denied claims, providing supporting documentation and medical records as necessary.
  • Identify and resolve issues or discrepancies that may impede the collection process.
  • Adhere to legal and regulatory requirements governing claims recovery activities.
  • Consistently meet or exceed daily KPIs in connection with claim recovery activities.
Requirements:
  • High School Diploma or equivalent required.
  • Some college coursework or a degree in a related field is preferred.
  • One to two years of claims-related experience or prior experience in healthcare claims recovery, medical billing, or collections is advantageous.
Preferred Skills:
  • Strong understanding of third-party billing and/or claims processing.
  • Ability to use critical thinking skills.
  • Excellent communication and negotiation skills.
  • Strong problem-solving and critical-thinking abilities.
  • Proficiency in using computer systems, including billing software, spreadsheets, and databases.
Work Environment:

This is a primarily sedentary role in a general office environment. The ideal candidate will have strong interpersonal skills and the ability to work collaboratively with internal teams and external stakeholders.



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