Insurance Collection Specialist

Medical Insurance Collection Specialist

ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Specialist. This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one‑on‑one training to ensure success in delivering high‑quality billing and collection services for our top‑ranked multispecialty medical providers.

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance
• Life insurance
• Paid time off
• Paid holidays
• Flexible schedule

• Proven experience in medical insurance collection department.
• Strong knowledge of medical appeal guidelines and insurance verification processes.
• Proficiency in managing appeals and conducting insurance verification.
• Strong communication skills (written and verbal).
• Proficient in Microsoft Excel.
• Knowledge of medical billing guidelines across multiple specialties, including but not limited to OB/GYN, Cardiology, Gastroenterology, and Primary Care.
• Prior experience and hands‑on medical insurance collection experience are required. This is not an entry‑level position.

• Analyze reimbursement procedures and account activity to ensure maximum reimbursement.
• Review and evaluate denials to determine and implement required actions to overturn denials.
• Identify denial trends related to assigned clients in efforts to implement corrective actions.
• Achieve unit daily account average target and work diligently to maintain assigned client's AR below 18%.
• Utilize insurance portals to appeal denied claims.
• Focus on payer profiles, contract adherence, and denied claim resolution.
• Identify problem trends such as incorrect coding, carrier non‑payment patterns, and physician coding inconsistencies.
• Maintain and promote a positive, professional work environment while maintaining strict confidentiality.
• Provide consistent support to clients, management, and team members.

Full-time

• 8-hour shift
• Monday to Friday

Flexible work from home options available.