Revenue Cycle AR Collections Specialist jobs in United States
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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

Healthcare billing experienceRevenue Cycle ManagementInsurance collectionsBehavioral Health billingCommercial Insurance knowledgeGovernment Payor guidelinesMedical terminologyHIPAA knowledgeMulti-tasking abilityComputer skillsOrganizational skillsCommunication skillsProblem-solving skills

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

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Spectrum Billing Solutions provides revenue cycle management services to healthcare providers.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase