Job Description
Job Description
Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a passionate and skilled Insurance AR Collections Specialist to our growing team. The ideal candidate will use their skills and knowledge to ensure optimal reimbursement by performing insurance collections. This role includes all aspects of revenue cycle collections including denial management, appeals, reimbursement rate negotiation, and accounts receivable collections.
This is a remote or home / office hybrid position.
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
Qualifications :
3+ years of experience in healthcare billing and collectionsExperience in all aspects of Revenue Cycle ManagementExperience in Behavioral and / or Mental Health billing preferredKnowledge of Commercial Insurance and Government Payor guidelinesUnderstanding of insurance benefits and reimbursementProficient in medical terminology, HIPAA and other critical governmental regulationsOrganized and detail-orientedAbility to multi-task and meet deadlinesAbility to comprehend various insurance documentation, analyze and reconcile accounts and follow detailed procedures in an organized and efficient mannerSuperior communication, problem-solving and follow-up skillsStrong computer skills (Word, Excel, billing software)At Spectrum, you receive :
A close-knit team of talented and skilled individualsGrowth opportunities within the organizationCompetitive salaryHealthcare benefits including medical, dental & visionFlexible PTOInsurance AR Collections Specialist | A / R Collections Specialist | Patient Account Specialist | Reimbursement Specialist | Billing / Revenue Cycle Management Specialist | Medical Billing Specialist | Collections Associate | Medical Biller | Reimbursement Specialist
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