Revenue Cycle AR Collections Specialist

Responsibilities

• Research and resolve insurance denials
• Filer 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
• Maintain daily, monthly, and quarterly billing metrics

Qualifications

• 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)

At Spectrum

• A close-knit team of talented and skilled individuals
• Growth opportunities within the organization
• Competitive salary
• Healthcare benefits including medical, dental & vision
• Flexible PTO