BILLER & COLLECTOR SPECIALIST

About the role

The Billing & Collection Specialist plays a critical role in managing financial transactions, ensuring billing accuracy, and maintaining regulatory compliance.

Responsibilities

• Perform daily activities to ensure timely resolution and closure of aged accounts receivable
• Submit claims, correct claim errors, and resolve RTP (Return to Provider) issues
• Conduct account status reviews and follow-up with payers as needed
• Investigate and resolve credit balances in compliance with regulations
• Respond to and resolve claim denials, including root cause analysis
• Manage correspondence related to billing and collections
• Support external audit requests, particularly those related to credit balances
• Ensure compliance with all payer guidelines and regulatory requirements

Requirements

• Strong understanding of medical terminology, insurance billing practices, and reimbursement processes
• Experience with electronic health record (EHR) systems and billing platforms (e.g., Meditech or similar)
• Excellent analytical skills with strong attention to detail
• Prior experience in healthcare billing, revenue cycle management, or accounts receivable preferred

Qualifications

• Education & Experience: High School Diploma required, Associate’s degree in Healthcare Administration, Finance, Accounting, or related field preferred