No- Fault & Workers' Compensation Collections Specialist
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Job Location:
Richmond Hill, NY - USA
Yearly Salary:
$ 45000 - 65000
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
About Us:
M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states along with a growing international team. We specialize in out-of-network surgical claims and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. Were looking for talented dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below we encourage you to apply.
Job Description:
We are seeking a No-Fault Insurance & Workers Compensation Collections Specialist to join our Accounts Receivable Team. This position involves handling insurance denials appeals and rejections for high dollar surgical medical claims. This role requires knowledge of the healthcare industry familiarity with insurance payer mix and full claims life cycle.
Key Responsibilities:
Follow up with insurance companies on claim status underpayments and denials
Resolve denied and underpaid claims promptly
Review and interpret Explanation of Benefits (EOBs)
Address and correct coding-related denials
Use payer portals (e.g. Availity Cigna UHC Navinet Emblem) to check claim status
Work with internal teams to resolve claim issues
Access EMRs to obtain necessary medical records
Post insurance payments and handle recoupments
Generate and send patient statements
Interpret terms for Workers Compensation and No Fault when applicable
Qualifications:
Must have an understanding of No-Fault and Workers Compensation rules and regulations
Strong attention to detail and organizational skills
Effective communication skills especially when working with insurance representatives
Proficient in Microsoft Office applications
High school diploma or equivalent
Minimum of 2 years experience with Workers Compensation and No Fault collections
Experience with Epic EMR is a plus
Benefits:
M&D Capital offers our employees a comprehensive benefits package including health dental vision employee assistance plan paid family leave short-term disability and life insurance. We also provide a 401(k) plan with employer match flexible spending accounts employee discount program and an employee referral program.
Salary:
This position offers a salary range of $45000 to $65000 annuallycommensurate with experience.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices acros...
