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Revenue Cycle Specialist
2 months ago
About Gastro Health
Gastro Health is a leading gastroenterology multi-specialty group with over 130+ locations throughout the United States. We are committed to providing outstanding medical care and an exceptional healthcare experience to our patients.
Job Summary
We are seeking a highly skilled Insurance Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the accuracy and timeliness of insurance claims and collections.
Key Responsibilities
- Provide liaison services between healthcare providers, patients, and insurance carriers to ensure accurate and timely claims processing.
- Maintain active communication with insurance carriers and third-party payers to resolve account discrepancies and negotiate payment.
- Update patient account information and monitor payer denial trends to identify areas for improvement.
- Run monthly aging reports to identify accounts requiring follow-up and manage assigned worklists on a daily basis.
- Utilize collection techniques to resolve accounts according to company policies and procedures.
- Report coding-related denials to the Coding Specialist and perform research to ensure proper reimbursement of claims.
- Assist with special projects assigned by the Billing Manager or Supervisor.
Requirements
- High school diploma or GED equivalent.
- At least 2 years' experience in insurance collections.
- Knowledge of medical terminology, including CPT, ICD-10, and HCPCS.
- Intermediate experience with Microsoft Excel and Office products.
- Experience with HMO, PPO, and Medicare insurances.
- Ability to read, interpret, and apply regulations, policies, and procedures.
Benefits
- 401(k) retirement plans with employer Safe Harbor.
- Harbor Non-Elective Contributions of 3%.
- Discretionary profit-sharing contributions of up to 4%.
- Health insurance.
- Employer contributions to HSAs and HRAs.
- Dental insurance.
- Vision insurance.
- Flexible spending accounts.
- Voluntary life insurance.
- Voluntary disability insurance.
- Accident insurance.
- Hospital indemnity insurance.
- Critical illness insurance.
- Identity theft insurance.
- Legal insurance.
- Pet insurance.
- Paid time off.
- Discounts at local fitness clubs.
- Discounts at AT&T.
About Our Company Culture
Gastro Health is proud to be an Equal Opportunity Employer. We value diversity and inclusion in the workplace and are committed to creating a positive and supportive environment for all employees.
