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Billing and Collections Associate

2 months ago

Dallas, Texas, United States Prestige Staffing Full time

Insurance Claims Specialist for Prestige Staffing



Competitive Pay based on Experience



Work Location: On-Site




• Assignment Duration: Temporary

• Work Schedule: Monday to Friday, 8 AM - 4:30 PM

• Essential Skills: Proficient in Collecting Insurance Payments; Familiarity with EPIC and Excel; Strong Interpersonal Skills; Ability to Handle High Call Volumes



As an Insurance Claims Specialist, you will be responsible for executing collection activities for designated accounts.

You will engage with insurance company representatives via phone or written communication to rectify erroneous insurance payments and penalties in alignment with Managed Care agreements.

You will maintain accurate collection records within the accounts receivable system.

Your role will involve addressing payment challenges and penalties owed in accordance with Managed Care contracts.

You will routinely contact insurance representatives to verify claim statuses, and to appeal or dispute payments and penalties.

A solid understanding of CPT codes, contracting, per diem rates, and other relevant payment methodologies in the healthcare sector is essential.

You will ensure that collection files are meticulously maintained within the accounts receivable system, documenting all relevant information necessary for follow-up actions.

Additionally, you will process accounts for write-off and legal actions, conducting detailed research and calculations based on Managed Care Rate Grids and Contracts to ascertain the accurate amounts owed.

Data entry into Patient Accounting systems and Access databases will be part of your responsibilities to monitor payments and penalties effectively. You will also prepare legal documentation to refer accounts to the Managed Care legal team for those deemed uncollectable.

Through diligent review, you will ensure that account balances are accurate and rectify any contractual or payment discrepancies. You will verify insurance coding to guarantee correct payments.

Lastly, you will manage correspondence related to accounts, ensuring timely and accurate responses.