Claims Resolution Specialist. Ft. Myers, FL

Claims Resolution Specialist

Job Responsibilities

• Perform full cycle medical insurance collections for multispecialty physician and hospital services
• Collect on government Medicare, Medicaid, Worker's Compensation, and commercial insurance and patient outstanding balances
• Medical Collectors follow up on insurance claim status, resolve denials & rejections, submit re-bills, re-submit claims, and file appeals
• Drafting up appeals and denials letters to be sent out to all government and commercial insurance companies
• Medical Collectors establish payment plans, accept payment, and work aging reports
• Medical Collectors post insurance and patient payments (cash, check, credit card, Explanation of Benefits, EOB, EFT, lock box)
• Medical Collectors manage accounts receivable and accounts payable
• Medical Collectors obtain insurance verification, precertification, and authorization via phone and insurance payer portals
• Medical Collectors update patient accounts with registration, insurance, demographic, scheduling, and billing data
• Medical Collectors provide superior high volume patient customer service in a fast paced environment
• Medical Collectors use Microsoft Office Word/Excel/Outlook, medical software, payer portals, and type 40+WPM

• 1+ year performing full cycle medical insurance collections for multispecialty physician and hospital services
• Ability to touch/collect on 75 accounts per day
• Medical Collectors must have prior experience collecting on government, Medicare, Medicaid, Worker's Compensation, and commercial insurance and patient balances
• Medical Collectors must have prior experience following up on claim status, resolving denials & rejections, re-billings, re-submitting claims, & filing appeals
• Medical Collectors must have prior experience managing accounts receivable and accounts payable
• Medical Collectors must have prior experience posting insurance and patient payments, cash applications, cash posting (nation of Benefits, EOB, EFT, lock box)

• Medical Collectors must have prior experience obtaining insurance verification, precertification, and authorization via phone and online insurance payer portals
• Medical Collectors must have prior experience updating patient accounts with registration, insurance, demographic, scheduling, and billing data
• Medical Collectors must have prior high volume in person and phone patient customer service experience

• Medical Collectors must demonstrate proficiency with Microsoft Office Word/Excel/Outlook, payer portals, & electronic medical records (EMR) software
• Medical Collectors must demonstrate ability to type 40+WPM required (alphanumeric & 10-key typing)

• Pay : We negotiate high salaries for you using the US Bureau of Labor Statistics
• Benefits : You are eligible for medical, dental, vision insurance benefits AND 401K match
• Bonuses : You are eligible for monetary bonuses
• Permanent Employment : The majority of Addison Healthcare job openings lead to potential permanent employment
• Connections : You are connected directly with hiring managers from hospitals, physician groups, and healthcare consulting companies
• Options : You are presented multiple employment location options near your home
• Professional Development : You are provided hiring process advice, resume revision, and employment term negotiation
• Confidential : Your career search is confidential and your resume is not online
• Feedback : You receive immediate feedback on your candidacy for jobs
• Urgency : Your level of urgency to find your next career matches our level of urgency