Collections Representative

Job Summary

A company is looking for a Collections Representative to work remotely in Mainland USA.

Key Responsibilities

• Research payer guidelines for processing appeals, corrected claims, and denials
• Utilize automation tools to verify eligibility and claim status while analyzing data trends
• Communicate with members or providers to evaluate and resolve claims errors or issues

Required Qualifications

• High School Diploma / GED
• At least 2 years of medical collections or medical billing experience
• 1+ years of experience with insurance companies on denied healthcare claims
• Experience in correcting and appealing medical claims
• Proficient in Microsoft Excel and Word