Insurance Collections Specialist

Company: North Coast Medical Supply LLC
Location: Miami
Posted on: May 16, 2022

Job Description:

ADS, a division of North Coast Medical Supply (NCMS), specializes in making it easier for patients living with diabetes by providing their diabetes testing supplies nationwide. Our highly trained staff and state of the art technology ensures customer satisfaction with every shipment.

$2,500 Sign-On Bonus

Shift: Mon-Fri 8:00am - 4:30pm

Training: 90 days on-site (Miami)

Potential for Remote or Hybrid upon successful completion of training

The NCMS Insurance Collections Specialist is responsible for processing insurance claims and billing. The Insurance Collections Specialist will work within the scope of responsibilities as dictated below with guidance and support from Insurance & Billing leadership teams.

The Insurance Collections Specialist is primarily responsible for:

Processes claims: investigates insurance claims; properly resolves by follow-up & disposition.
Verifies patient eligibility with secondary insurance company when necessary.
Bills supplemental insurances including all Medicaid states on paper and online.
Mails all paper claims.
Manages billing queue as assigned in the appropriate system. Investigates and updates the system with all information received from secondary insurance companies.
Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.
Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.
Updates patient files for insurance information, Medicare status, and other changes.

Expected Competencies for the Insurance Collections Specialist role:

Friendly, professional and effective communications skills; able to calmly present solutions in challenging situations
Effective interpersonal skills
Clear diction and knowledge of the English language, both written and verbal
Problem-solving and critical thinking skills
Service-orientation and aptitude to resolve insurance and/or patient matters
Self-directed accountability and reliability
Cultural competence


PM21Minimum Requirements for Insurance Collections Specialist applicants:

High School diploma or equivalent
Experience billing and processing claims
Medicare claims experience preferred
Medicare and private insurance verification experience preferred
Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices.
Proficiency in basic math and business calculations
Working knowledge of computer/data entry with the ability to learn new systems
Basic level of MS Office proficiency

Position Classification
This position is non-exempt. ADS/NCMS is an equal opportunity employer. Candidates must be able to provide proof of eligibility to work in the United States without support; sponsorship is not available.

PM21PI177825350

Keywords: North Coast Medical Supply LLC, Miami , Insurance Collections Specialist, Accounting, Auditing , Miami, Florida