This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
Our team is seeking a Medical Insurance Collections Specialist with prior hospital experience to join a dynamic healthcare organization. In this role, you will play a critical part in maximizing hospital revenue by managing insurance denials, processing appeals, and handling collections related to HMO/PPO insurance claims. A strong understanding of UB-04 billing practices is required.
Job Responsibility:
Review and analyze insurance denials and identify appropriate action steps for appeal or resubmission
Prepare and submit timely, thorough appeals using clinical and financial data
Navigate and resolve issues related to HMO/PPO insurance programs
Complete and accurately review UB-04 forms for billing and appeals processes
Communicate with insurance carriers to gather status updates and clarify payment issues
Collaborate with hospital billing and patient accounts teams to resolve outstanding balances
Document all actions and maintain compliance with HIPAA and hospital policies
Requirements:
Previous experience in hospital medical insurance collections is required
Strong familiarity with insurance denial management and appeals
Proficient in completing and reviewing UB-04 forms
Experience with HMO/PPO insurance billing procedures
Excellent organizational, communication, and problem-solving skills
Ability to work in a fast-paced and team-oriented environment