
Collections Specialist (Experience Insurance Collector)
Required skills
- Medical Collector
- Insurance
- Claims
- Managed Care Contracts
- Carrier Guidelines
- Appeals Process
- Medical Terminology
- Arithmetic
- Ratios
- Percentages
Nice to have
- Additional languages
Role summary
This on-site Medical Collector position in North Providence, RI, requires an experienced individual to ensure timely and accurate processing and payment of insurance claims. Responsibilities include communicating with insurance companies, understanding managed care contracts and guidelines, and managing the appeals process. A high school diploma and a minimum of two years of prior medical collections experience are required. Preferred qualifications include medical terminology and additional languages. The role involves quantitative analysis, document interpretation, and effective communication skills.
This position is located at 1637 Mineral Spring Ave., North Providence RI 02904, in our CBO. This position is not located at our Bayside Endoscopy Center.
This is an on-site opportunity (not remote).
POSITION SUMMARY: Experienced Medical Collector is responsible for ensuring all primary and secondary claims have been processed and paid according to guidelines and contracts. Medical Collections will need to be able to effective communicate to insurance companies, understand managed care contracts, carrier guidelines and the appeals process.
EDUCATION AND EXPERIENCE:
- High School graduate or equivalent.
- Medical terminology preferred.
- Two years minimum prior medical collections experience.
KNOWLEDGE, SKILLS AND ABILITIES:
- Ability to read and interpret documents in English such as safety rules, operating and maintenance
instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to
speak effectively before groups of customers or employees of organization. Additional languages
preferred. - Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common
fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar
graphs. - Ability to apply common sense understanding to carry out instructions furnished in written, oral, or
diagram form. Ability to deal with problems involving several concrete variables in standardized
situations. - Must be able to communicate effectively over the phone, in writing and in person.
- Participates in opportunities of continuing education.
- Demonstrates the ability to utilize recognized channels of communication.
- Demonstrates the ability to maintain good interpersonal relationships with patients, co workers, and other health team members.
Benefits:
- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
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