Healthcare Collections Specialist – RCM
- Job Description:
- Responsible for follow-up on outstanding claims with insurance companies through portals and phone calls.
- Research and resolve incorrectly processed claims.
- Determine root causes and establish trends across payors and/or sites.
- Utilize reconsiderations and appeals to accurately fight denied or underpaid claims.
- Understand other aspects of revenue cycle management (such as benefits, authorizations, billing) to identify any front-end errors and take steps to correct as needed.
- Perform core tasks and claim follow-up efficiently; meet production goals, quality standards, and team goals and partner with leadership to deliver overall strong results.
- Respond to all insurance and claim related correspondence timely.
- Perform other duties as assigned by supervisor.
- Requirements:
- Knowledge of CPT, HCPCS, and ICD-10 coding
- Expertise in health insurance claim denials
- Understanding payor requirements
- Previous medical billing and claims collection experience
- Ability to evaluate options and to make efficient decisions
- Strong written and verbal communication
- Ability to read an EOB and understand denial reason codes
- Infusion background a plus
- Exhibit overall behavior and actions that demonstrate willingness to learn, be coached, and take accountability for self-improvement and growth; be a collaborative team player.
Benefits:
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