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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• 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:
Apply tot his job
Apply To this Job