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Form of workJoin our growing organization impacting hundreds of children and thousands of family members every day and enjoy a career with a purpose. We are looking to expand our Medical Collections team at our Fort Lauderdale office, where we ensure that every family receives the best client experience and customer service possible.
The role of the Medical Collection Specialist is primarily to investigate medical insurance claim denials, and to follow up as appropriate to collect outstanding accounts receivable balances.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Key Responsibilities
- Identify claim denial reasons and work to have denials overturned.
- Write, submit, and follow-up on appeals.
- Understand proper claim submission requirements for clean claims.
- Identify missing or incorrect data on CMS 1500, and submission of corrected claims to insurance carriers.
- Recognize and work through offsets, retractions, and ERA posting inaccuracies.
- Use of payer websites/portals for claim status, patient eligibility, and benefits
Qualifications, Skills, and Experience
- Strong computer skills are a must.
- Experience in the field of ABA Therapy and Central Reach software experience preferred.
- Excellent written and verbal communication skills, including professional and courteous communication style.
- Strong understanding of prior authorization process.
- Comprehension of payer contracts, fee schedules, CPT and Diagnosis Codes.
- Able to work in a fast-paced environment; to self-manage and use resources to successfully meet daily and weekly productivity expectations.
- Detail oriented and organized.
- Ability to adapt to change.
- 2-3 years of healthcare billing and/or collections experience.
- Intermediate proficiency in Microsoft Excel
The Full Package
- Above-market compensation
- Quarterly bonus opportunities
- Health, Vision, Dental benefits
- PTO that increases with tenure
- Paid holidays
- Life Insurance and Disability coverage
- 401(k) with company match
In 2015, InBloom Autism Services was founded and built on the foundation of maintaining a high standard of clinical integrity, providing quality services, and ensuring a connected experience for parents and caregivers. Since then, we expanded from our very first learning center in South Florida and are proud to be able to serve kiddos and families across 8 states and over 30 learning centers! We’re proud to employ the most qualified and dedicated behavior professionals whose primary focus is on providing the best clinical outcomes to the kiddos under our care.
It is our mission to support and positively impact families navigating an autism diagnosis by delivering the latest, most proven ABA therapies. We achieve this goal by working together, communicating honestly, and always putting the kiddos first. As a result, our organization – along with the families we serve – thrive.
USD $20.00 - USD $23.00 /Hr.
