Credit Analyst managing credit approvals and collections in pharmaceutical industry. Working with financial analysis to optimize cash flow and reduce risks.
SS
Hybrid Revenue Cycle AR Collections Specialist
Posted 4 months ago
About the role
- Revenue Cycle AR Collections Specialist at Spectrum Billing Solutions ensuring optimal reimbursement and handling all aspects of revenue cycle collections.
Responsibilities
- Research and resolve insurance denials
- File appeals on denied or underpaid claims
- Check claim status on appropriate payor systems and contact insurances as needed
- Send Medical Records and other documentation to payors as requested
- Follow up with patients and payors for payments
- Negotiate out-of-network reimbursement rates with insurances
- Review of Accounts Receivable Aging reports
- Meet daily, monthly, and quarterly billing metrics
Requirements
- 3+ years of experience in healthcare billing and collections
- Experience in all aspects of Revenue Cycle Management
- Experience in Behavioral and/or Mental Health billing preferred
- Knowledge of Commercial Insurance and Government Payor guidelines
- Understanding of insurance benefits and reimbursement
- Proficient in medical terminology, HIPAA and other critical governmental regulations
- Organized and detail-oriented
- Ability to multi-task and meet deadlines
- Ability to comprehend various insurance documentation, analyze and reconcile accounts and follow detailed procedures in an organized and efficient manner
- Superior communication, problem-solving and follow-up skills
- Strong computer skills (Word, Excel, billing software)
Benefits
- Healthcare benefits including medical, dental & vision
- Flexible PTO
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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