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Medical Insurance Collections Specialist

CollectionsCollectionsFull TimeRemoteMid LevelTeam 10,001+Since 2017H1B SponsorCompany SiteLinkedIn

Location

Alabama + 34 moreAll locations: Alabama | Arizona | Colorado | Connecticut | Florida | Idaho | Iowa | Kansas | Kentucky | Louisiana | Maine | Nebraska | Nevada | New Hampshire | New Jersey | New Mexico | North Carolina | Ohio | Oklahoma | Michigan | Mississippi | Missouri | Pennsylvania | Rhode Island | South Carolina | South Dakota | Tennessee | Texas | Utah | Vermont | Virginia | Washington | West Virginia | Wisconsin | Wyoming

Posted

93 days ago

Salary

$18 / hour

Seniority

Mid Level

Associate Degree2 yrs expExperience acceptedEnglish

Job Description

Medical Insurance Collections Specialist

Conduent

• Recover medical claim overpayments through phone, email, and fax outreach • Analyze claims data to identify overpayments and determine recovery actions • Handle provider disputes, appeals, and complex collection scenarios • Coordinate with clients and providers to process adjustments and reversals • Maintain accurate follow-ups to ensure timely resolution • Develop effective collection strategies to maximize recovery • Communicate clearly with internal teams and external partners

Job Requirements

  • Minimum 2 years of medical billing and/or insurance collections experience and account management
  • Strong understanding of Medical claims processing and reimbursement
  • Medicare (Parts A, B, C, D), Medicaid, and commercial insurance
  • Coordination of Benefits (COB)
  • Claim denials, appeals, and rebilling processes
  • Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA)
  • CPT and ICD-9/10 coding
  • Healthcare settings (inpatient, outpatient, pharmacy, etc.)
  • Ability to identify and explain overpayment types (duplicates, contractual, PPO, bundled claims, etc.)
  • Must be able to successfully complete a background check and drug screening
  • Associate degree or equivalent combination of education and experience
  • Strong analytical, organizational, and problem-solving skills
  • Excellent verbal and written communication
  • Ability to manage high call volume and work independently
  • Proficiency in Microsoft Office (Word, Excel, Outlook)
  • Strong customer service and negotiation skills

Benefits

  • health insurance coverage
  • voluntary dental and vision programs
  • life and disability insurance
  • a retirement savings plan
  • paid holidays
  • paid time off (PTO) or vacation and/or sick time

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