Spectrum Billing Solutions · 1 day ago
Revenue Cycle AR Collections Specialist
Spectrum Billing Solutions is a revenue cycle management company for healthcare organizations, seeking a skilled Revenue Cycle AR Collections Specialist to join their team. The role focuses on ensuring optimal reimbursement through insurance collections, including denial management, appeals, and accounts receivable collections.
BillingFinanceFinancial Services
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
Qualification
Required
3+ years of experience in healthcare billing and collections
Experience in all aspects of Revenue Cycle Management
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)
Preferred
Experience in Behavioral and/or Mental Health billing
Benefits
Healthcare benefits including medical, dental & vision
Flexible PTO
Company
Spectrum Billing Solutions
Spectrum Billing Solutions provides revenue cycle management services to healthcare providers.
Funding
Current Stage
Growth StageCompany data provided by crunchbase