Offer summary

Qualifications:

Bachelor's degree (B.A./B.S.) or equivalent experience required., 5+ years of experience in medical billing or healthcare organizations., Strong understanding of payer guidelines and billing regulations., Excellent communication, organizational, and problem-solving skills..

Key responsibilities:

Manage and resolve escalated claims, focusing on behavioral health and out-of-network payers.

Analyze reports and track account trends to identify problem areas.

Lead a team of collections specialists, setting performance goals and mentoring.

Communicate with insurance companies to resolve claim issues and maximize reimbursement.

Job description

Senior Insurance Collections Specialist

About Us

Congress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of our clients. Our mission is to ensure that all Congress Billings clients have a proven low-cost RCM solution that provides maximized Insurance Reimbursements in the quickest attainable time possible. We will achieve this with the highest level of professionalism, ethics, and transparency. If you take pride in being the best, we want you on our team

Your Role

At Congress Billing, you'll be handling collections of outstanding accounts receivable dollars from the existing client base, and all other aspects of collections, resolving insurance billing problems and reducing accounts receivable delinquency. You'll play a key role in meeting our success goals and helping our clients, with the support of a talented team.

Benefits

Being the best at what we do includes our team values of growth and respect. In addition to competitive pay, we offer quality health insurance, dental and vision, 401k matching, paid time off, and education tuition incentives. We have a top of the line training program to ensure you have the tools and support to excel. We believe in being the best, and that means setting our team up for success.

Requirements

To be considered for this position, you will need:

Bachelor's degree (B.A./B.S.) from four-year college or university; or two to four years related experience and/or training; or equivalent combination of education and experience. Minimum of high school diploma or equivalent required.
5+ years of experience with a medical billing company or large healthcare organization
Proven tenure: youve stayed and grown in your previous roles (minimum 2 years per role preferred)
Hands-on experience with commercial insurance collections (out-of-network)
Strong understanding of payer guidelines, billing/coding regulations, and CMS policies
Proficiency in running and interpreting A/R and aging reports
Experience managing or mentoring a team is a plus
Quick learner and comfortable with multiple software platforms
Strong communication, organizational, and problem-solving skills
Project management experience is preferred

Responsibilities

Manage and resolve escalated claims with a focus on behavioral health and out-of-network payers
Analyze reports, track account trends, and organize data to identify problem areas
Assist in leading a team of collections specialists setting performance goals, mentoring, and tracking progress
Review payer guidelines, appeals, and denials to ensure regulatory compliance
Communicate effectively with insurance companies to resolve claim issues and maximize reimbursement
Take initiative in researching payer-specific issues and developing effective solutions
Collaborate cross-functionally to support process improvements and project execution

Pay: $60,000 - $75,000 (Based on qualifications and experience)

Schedule: Full-time

Location: Remote

Apply Now!

Required profile