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Do you love to care for patients in a warm and welcoming environment?

Gastro Health is currently looking for a detail-oriented Insurance Collection Specialist to join our Remote-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 – and we enjoy paid holidays plus paid time off.

Here are some of the duties you will be responsible for:

• 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 the 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; communicate patterns to supervisor.
• Process assigned accounts refunds and overpayments as per the company's policies and procedures.
• Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow-up.
• Manage all MGR buckets on a daily basis for assigned insurances.
• Utilize collection techniques to resolve accounts according to the company's policies and procedures.
• Report 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.
• Assist with special projects assigned by Billing Manager or Supervisor

Applicants will be considered based on successful completion of one of the following:

• High school diploma or GED equivalent
• At least 3 years of experience in insurance collections
• Must have experience using CARC and RARC to identify and resolve denials
• Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
• Knowledge of letters of appeal
• Experience with HMO, PPO, and Medicare insurances
• Must be able to read, interpret, and apply regulations, policies, and procedures

Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience.

We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus paid holidays.

Plus:

• This position offers a great work/life balance!
• We are growing rapidly and support internal advancement
• We offer competitive compensation

Benefits:

• 401(k) retirement plans
• Profit-Sharing
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Disability insurance
• Pet insurance

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!