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Collections & Denial Management Specialist

Prestige Staffing, New York, NY, United States


Location Downtown Brooklyn, in-office (100% on-site)

Pay $25/hour

Summary Seeking a detail-oriented Collections & Denial Management Specialist to join a dynamic team in downtown Brooklyn. This role involves managing a high volume of complex claims, including workers’ compensation, auto, no-fault, and personal injury claims, utilizing phone, email, portals, and chat channels. The ideal candidate will be a problem solver with experience in navigating complex claims to ensure timely payments and resolve unpaid, short-paid, or denied claims. The position offers opportunities for growth, a supportive working environment, and potential bonuses.

Requirements

Minimum of 3+ years experience as a Medical Collector, Patient Account Representative, or Workers’ Compensation Specialist

Proven ability to problem solve complex claims, particularly through portals, email, chat, and phone

Experience handling high-dollar claims and multiple accounts per day

Strong communication skills and soft skills for effective claim resolution

No specific educational or certification requirements

Responsibilities

Manage approximately 30 accounts daily, focusing on resolving unpaid, short-paid, partial paid, or denied claims

Utilize phone, email, portals, and chat to identify and correct claim issues

Work on complex claims such as workers’ comp, auto, and personal injury through various channels

Collaborate with team members and utilize a problem-solving approach to maximize claim payments

Maintain accurate documentation and follow up to ensure claim resolution

Contribute to team goals and support a collaborative work environment

Benefits

In-office work environment in downtown Brooklyn

Promotion opportunities within the team

Potential for individualized bonus plans based on performance

Supportive team with good morale and a great work environment

Eligibility for year-end bonuses and additional incentives as plans are finalized

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