Other Specification:

• Bachelor’s Degree in any field 
• Demonstrated proficiency with Microsoft Word, Outlook, and Excel 
• Excellent verbal and written communication skills 
• Excellent organizational skills and the ability to multitask 
• Ability to work well under pressure and prioritize accordingly to meet deadlines 
• Possess a positive attitude and a willingness to learn 
• Ability to work with both internal and external customers in a collaborative atmosphere 
• Self-motivated 
• Ability and willingness to work night shifts (10 PM to 7 AM).

Job Description:

Cedar Gate Services is looking for a few Collections Specialist who will be responsible for resolving assigned account receivables (A/R), account reconciliation, management, research, and handling of unresolved claim inquires or issues. 

Responsibilities:

• Complete reimbursement processes in a timely and accurate manner, in accordance to the best industry practices and pre-defined standards 
• Analyze and properly resolve assigned claims in a timely manner 
• Communicate with carriers, physician’s offices, patients, and management to achieve resolution of issues and claims’ statuses 
• Accurately verify insurance benefits related to claims 
• Ensure that insurance benefits are updated 
• Process required adjustments according to department protocol 
• Ensure that payments are posted accurately 
• Appeal claims appropriately, as needed 
• Obtain medical records and other documents from appropriate resources as required for claims’ payments 
• Follow company's collection policies and procedures 
• Work with external agencies, vendors, and clients to maintain the company’s acceptable AR days, AR aging, and payments 
• Other tasks as assigned by the management.

Source: Merojob

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