Job details
Pay
$45,000 - $65,000 a year
Job type
Full-time
Work setting
Office
In-person
Medical specialty
Surgery
Benefits
Pulled from the full job description
Health insurance
Vision insurance
Dental insurance
Family leave
Life insurance
Employee assistance program
Disability insurance
Full job description
Workers' Compensation Collections Specialist
ASC Strategic is currently seeking a 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 healthcare industry knowledge, familiarity with insurance payer mix and full claims lifecycle.
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 when applicable
Qualifications & Experience
· 2 year's experience in the Medical Billing Field
Understanding of 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
· 2 years' experience with Workers Compensation Collections
Benefits
ASC Strategic offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance.
Job Type: Full-time
Pay: $45,000.00 - $65,000.00 per year
Experience:
Workers' compensation: 1 year (Preferred)
Healthcare Accounts Receivable: 2 years (Preferred)
Ability to Commute:
Hackensack, NJ 07601 (Required)
Work Location: In person
