Medical Insurance Collector

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Requirements:

• Minimum of two (2) years’ experience in medical billing and collections.
• Familiarity with GMed software and gastroenterology billing processes is an advantage.
• Comprehensive knowledge of insurance guidelines, regulations, and payer-specific products.
• Proficiency in reading and interpreting EOBs.
• Demonstrated ability to work effectively with government and commercial payers.
• Strong skills in writing and submitting appeals.
• Ability to work effectively in a collaborative, team-oriented environment.

Responsibilities:

• Work on outstanding A/R to secure payments from insurance carriers.
• Utilize insurance web portals to upload appeals and supporting documents.
• Analyze and interpret Explanation of Benefits (EOBs) to identify payment discrepancies.
• Ensure claims are reimbursed at the correct contracted rates.
• Address and resolve claim rejections and denials efficiently to expedite payment.
• Prepare and submit detailed appeals to insurance carriers when necessary.
• Maintain a thorough understanding of insurance carrier guidelines.
• Collaborate with the billing team to meet department goals and deadlines.