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Senior Insurance Collections Specialist
Gastro Health. Lead and support the insurance collections team in accounts receivable management .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance collections and accounts receivable management within a healthcare setting, with a strong focus on compliance, process improvement, and team leadership. Proficient in managing complex claims, denial management, and utilizing healthcare billing systems effectively.
Highest-signal resume keywords
Insurance Collections ManagementHealthcare Billing SystemsMedical Terminology (CPT, ICD-10, HCPCS)Team Leadership in Revenue Cycle ManagementDenial Management and Resolution
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Claims ResolutionAccounts Receivable ManagementPayment NegotiationData Analysis (Aging Reports)Regulatory Compliance
Soft Skills
MentoringCommunicationProblem-SolvingCollaboration
Tools & Technologies
Microsoft ExcelMicrosoft Office
Industry Keywords
Healthcare Revenue Cycle ManagementHMOPPOMedicareMedical Collections
About the role
Key responsibilities & impact- Lead and support the insurance collections team in accounts receivable management
- Ensure timely and accurate resolution of insurance claims, denial management, and underpayment trends
- Serve as a subject matter expert and manage first-level escalations
- Streamline workflows and mentor team members
- Handle complex claims and payer issues
- Participate in training, audits, reporting, and process improvement initiatives
- Work closely with management to support strategic revenue cycle management goals and ensure compliance with policy changes
- Provide liaison services between healthcare providers, patients or responsible persons, and revenue sources
- Maintain communication with insurance carriers and third-party carriers until accounts are paid
- Negotiate payment of current and past-due accounts by telephone and written correspondence
- Update patient account information
- Monitor and identify payer denial trends and problem accounts; communicate patterns to the supervisor
- Run monthly aging reports based on date of service and current accounts receivable
- Manage assigned insurance worklists daily
- Use collection techniques to resolve accounts according to company policies and procedures
- Report coding-related denials to the Coding Specialist
- Fax information, generate retroactive authorization requests, and verify medical eligibility
- Research claims to ensure proper reimbursement
- Assist with special projects assigned by the Billing Manager or Supervisor
Requirements
What you’ll need- Experience with a large, growing healthcare organization supporting 100 or more providers and overseeing 10+ team members
- At least 3 years’ experience in insurance collections
- Experience with large healthcare billing systems (over 100+ providers) a plus
- Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
- Knowledge with letters of appeal
- Intermediate experience with Microsoft Excel and Office products is required
- Experience with HMO, PPO, and Medicare insurances
- 5+ years’ experience in healthcare industry
- 1+ years of supervisory experience/leading a team in healthcare revenue management cycle roles encompassing all phases of the revenue cycle management
- Must be able to read, interpret, and apply regulations, policies and procedures
Benefits
Comp & perks- A great work/life balance
- No weekends or evenings – Monday thru Friday
- Paid holidays and paid time off
- Opportunities for advancement
- Competitive compensation
- Medical
- Dental
- Vision
- Spending Accounts
- Life / AD&D
- Disability
- Accident
- Critical Illness
- Hospital Indemnity
- Legal
- Identity Theft
- Pet
- 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
- Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees
- Tickets at Work discounts on concerts, travel, movies, and more