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Insurance Collections Specialist
2 weeks ago
Overview of Responsibilities:
Manage insurance denials by reviewing billed and denied accounts.
Analyze denial reasons and determine appropriate next steps (appeals, reconciliation, write-off requests).
Prioritize daily workload by logging into systems (e.g., BusiQuate) and working through assigned claims.
Ensure timely filing and address issues related to benefits and provider credentialing.
Consistently meet productivity metrics of processing 30-35 claims per day, with 3-5 requiring in-depth follow-up.
Requirements:
2+ years of insurance collections or denial management experience (open to strong candidates with less experience if soft skills are exceptional).
Solid understanding of denial management processes and resolution strategies.
High school diploma or equivalent (college coursework preferred).
Additional Skills:
Investigative mindset with strong problem-solving skills.
Proactive, self-motivated, and resourceful.
Positive attitude and strong initiative.
Willingness and eagerness to learn.
Schedule/Shift:
Operating hours: 6:00 AM - 6:00 PM EST
Monday - Friday; 8 hour shifts
Contract Length:
800 Hours. Opportunity to convert to permanent hire after satisfactory completion of contract.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
