[Work From Home] Medical Collections Specialist
Ready to make a real impact? We're hiring a Medical Collections Specialist! We have an opening at our office in Remote. This position requires a strong and diverse skillset in relevant areas to drive success. The compensation for this role is a competitive salary, reflecting our commitment to attracting the best.
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Position: Collection Specialist - RemoteDepartment: Revenue Cycle Management
Objective
The collection specialist will focus primarily on resolving insurance claims from Medicare, Medicaid, and commercial plans that are underpaid or denied. They will use their payor knowledge and critical thinking skills to correctly identify denial root causes and effectively take action to get claims reprocessed and paid. The collection specialist must have a good grasp on professional billing in order to help vet the accuracy of claims billed and identify any billing or set up issues that may cause unclean claims. The collection specialists must have a strong background in claims reconsiderations and appeals.
Pay Range: $22.00 - $34.00 per hour.
RCM Supervisor & RCM Manager
Scope of Supervision
N/A
Responsibilities
 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.
Minimum Qualifications
 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.
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If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
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