We are currently seeking a full-time HMO Insurance Collections Specialist who will be responsible for follow-up on unpaid claims to ensure proper financial reimbursement from insurance companies. The ideal candidate has a thorough understanding of common and uncommon denials. Additionally, you may be a great candidate if you have excellent communication and interpersonal skills, experience with the Microsoft Office suite of solutions, can maintain attention to detail under varying scenarios, are skilled at time management and meeting deadlines, and have perseverance. If this sounds like you, we invite you to apply today!
A day in the life!
You will be responsible for the following:
Focusing on on all denied/partially paid claims until full payment is received
Working in a time-efficient manner to cover all denied claim from assigned homes
Knowing when to forward a case to the biller/tracker
Understanding how the higher dollar balances impact our collection rate and focus
Prioritizing the “clean up” of balances by writing off rates/NAMI's/other adjustments
Aiming for 99% collections
Do you have what it takes?
Required Qualifications:
1-2 years related work experience
Additional job expectations applicable to this position include:
- Willingness to work additional or irregular hours as needed
- Working in accordance with corporate and organizational security policies and procedures
- Performing other responsibilities as assigned
WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.
WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.
Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.
Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:
- Excellent medical, dental, and vision benefits
- Mental health benefits through TelaDoc
- Prescription drug coverage
- Generous paid time off, plus 13 paid holidays
- Paid parental leave
- 100% vested 401(K) retirement plans
- Educational assistance up to $2500 per year
United States
