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Insurance Collections Specialist

Gastro Health, Miami, New Mexico, United States, 87729

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Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.

This Role Offers

A great work/life balance

No weekends or evenings – Monday through Friday

Paid holidays and paid time off

Rapidly growing team with opportunities for advancement

Competitive compensation

Benefits package

Duties You Will Be Responsible For

Provides liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution

Maintains active communications with insurance carriers and third‑party carriers until account is paid

Negotiates payment of current and past‑due accounts by direct telephone and written correspondence

Updates patient account information

Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor

Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up

Manages all assigned worklist on a daily basis for assigned insurances

Utilizes collection techniques to resolve accounts according to company’s policies and procedures

Reports any coding related denial to the Coding Specialist

Performs other duties including, but limited to, faxing information as required, generating retroactive authorization requests, and verifying medical eligibility

Conducts necessary research to ensure proper reimbursement of claims

Assists with special projects assigned by Billing Manager or Supervisor

Minimum Requirements

High school diploma or GED equivalent

At least 2 years’ experience in insurance collections

Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)

Knowledge with letters of appeal

Intermediate experience with Microsoft Excel and Office products is required

Experience with HMO, PPO, and Medicare insurances

Must be able to read, interpret, and apply regulations, policies and procedures

We offer a comprehensive benefits package to our eligible employees:

401(k) retirement plans with employer Safe Harbor

Harbor Non‑Elective Contributions of 3%

Discretionary profit‑sharing contributions of up to 4%

Health insurance

Employer contributions to HSAs and HRAs

Dental insurance

Vision insurance

Flexible spending accounts

Voluntary life insurance

Voluntary disability insurance

Accident insurance

Hospital indemnity insurance

Critical illness insurance

Identity theft insurance

Legal insurance

Paid time off

Discounts at local fitness clubs

Discounts at AT&T

Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.

Gastro Health is one of the largest gastroenterology multi‑specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We thank you for your interest in joining our growing Gastro Health team!

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