Claims Specialist jobs in Mobile, AL

Description

We are seeking an enthusiastic Insurance Collections Specialist to join our team! In this role, you will be responsible for contacting and collecting on past due accounts receivables, managing denials, and appealing claims from various insurance payers. Our team is dedicated to delivering exceptional service while supporting our mission and clients.

Essential Functions

We believe in providing reasonable accommodations to enable individuals with disabilities to perform essential functions. Key responsibilities include:

• Reducing aged accounts receivable over 90 days.
• Analyzing Explanation of Benefits (EOBs) and correspondence to identify zero pays and underpayments.
• Following up with healthcare insurance companies on outstanding medical claims and appeals.
• Reviewing insurance cards, authorizations, and medical records.
• Verifying patient insurance eligibility.
• Maintaining open communication with the insurance verification team, billing department, and office support staff.
• Conducting collection actions and providing resolutions for complex accounts.
• Supplying supporting documentation for collection actions.
• Performing other duties as assigned.
  
  

Required Skills

• Strong persistence and a professional demeanor.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office, especially Excel.
• Strong time-management and organizational abilities.
• Ability to prioritize accounts based on importance.
• Exceptional interpersonal skills for effective collaboration with patients, colleagues, and vendors.
  
  

Required Education And Experience

• High School Diploma or an Associate's Degree or higher, or specialized training in medical collections preferred.
• Minimum of 2 years' experience in medical claims resolution and management.
• At least 1 year of experience collecting from government payers (Medicare & Medi-Cal) preferred.
• Ability to identify, research, and resolve payer denials.
  
  

Work Environment

This position operates in a professional office setting and may involve standard office equipment, such as laptops and smartphones.

Physical Demands

The Physical Demands Of This Role May Include

• Standing, walking, sitting, using hands to handle objects or controls, reaching with hands and arms, climbing stairs, balancing, stooping, kneeling, crouching, and occasionally lifting or moving up to 20 pounds.
• Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
  
  

Expected Hours of Work

This is a full-time position, with standard workdays from Monday through Friday. Hours may vary from 7:30 a.m. to 4:00 p.m. PST, with adjustments made for specific time zones. Weekend work is not required.

Pay, Benefits & Perks

• Competitive pay based on experience
• Paid Time Off (PTO)
• Sick Time Off
• 7 Paid Holidays per year
• 401(k) with company match
• Employee referral bonuses
• Medical, dental, and vision insurance
• Employer-paid life insurance
• Short-term disability insurance
• Voluntary worksite benefits such as accident, critical illness, hospital, and identity theft coverage
  
  

Join our energetic and dedicated team of professionals who are passionate about helping clients provide essential hearing health services to patients across the country. We are committed to equal employment opportunities and strive to create an inclusive workplace for all individuals, regardless of age, sex, race, religion, national origin, or any other protected characteristic.

Employment Type: Full-Time