Insurance Collection Specialist

Medical Insurance Collection Specialist

ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced

• 401(k)
• Dental insurance
• Health insurance
• Opportunity for advancement
• Paid time off
• Vision insurance
• 401(k) matching
• Flexible schedule

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.

• 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.
• Note:
  
  This is not an entry-level position. Prior experience and hands‑on medical insurance collection experience are required.

• 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 deli gently 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 nonpayment patterns, and physician coding inconsistencies.
• Maintain and promote a positive, and professional work environment while maintaining strict confidentiality.
• Provide consistent support to clients, management, and team members.

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

Full-time

• 8-hour shift
• Monday to Friday

Flexible work from home options available.