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Insurance Claims Specialist

2 months ago


Framingham, Massachusetts, United States Gastro Health Full time
Insurance Collections Specialist

Gastro Health is seeking a highly skilled Insurance Collections Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and efficiency of our medical billing and collections processes.

Key Responsibilities:
  • Provide liaison services between healthcare providers, patients, and insurance carriers to ensure accurate and timely payment of medical claims.
  • Maintain active communication with insurance carriers and third-party payers to resolve account discrepancies and negotiate payment of current and past due accounts.
  • Utilize collection techniques to resolve accounts according to company policies and procedures.
  • Monitor and identify payer denial trends and problem accounts, communicating patterns to supervisor.
  • Run monthly aging reports to identify accounts requiring follow-up and manage assigned worklists on a daily basis.
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.
What We Offer:
  • Competitive compensation and benefits package.
  • 401(k) retirement plans with employer Safe Harbor.
  • Discretionary profit-sharing contributions of up to 4%.
  • Health insurance, dental insurance, and vision insurance.
  • Flexible spending accounts and voluntary benefits.

Gastro Health is an Equal Opportunity Employer and welcomes applications from diverse candidates. We are committed to providing a comprehensive benefits package to our eligible employees and fostering a positive work environment.