We are seeking a detail-oriented and driven Workers Compensation Billing & Collections Specialist to manage end-to-end workers compensation and no-fault billing processes. This role plays a critical part in ensuring accurate claims submission timely follow-ups appeals management and revenue cycle optimization.
The ideal candidate has strong experience in medical billing workers compensation claims insurance follow-ups and appeals handling within a fast-paced healthcare environment.
Initiate contact with workers compensation insurance carriers adjusters and web portals regarding outstanding claims
Prepare submit and follow up on workers compensation and no-fault claims
Review and appeal denied claims with complete documentation
Verify and correct insurance and patient demographic information
Post payments accurately and document payment records in a timely manner
Manage charge entry A/R follow-up collections and settlement negotiations
Draft written responses to address billing and collections issues
Retrieve authorizations and referrals from insurance companies
Scan upload and manage medical records for claims processing
Stay current with state workers compensation guidelines
Escalate billing trends or recurring issues to management
Perform additional duties as assigned
Detail-oriented with high accuracy in data entry
Strong phone and interpersonal skills
Ability to work independently while collaborating with team members
Proactive assertive and results-driven
Customer-focused and solution-oriented
Adaptable and supportive of change
Committed to ethical practices and continuous learning
Work in a collaborative and supportive environment
Opportunity to develop expertise in specialized medical billing
High-impact role contributing to revenue optimization
Professional growth and advancement opportunities
Required Experience:
IC
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