Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Revenue Management Claims And Litigation Management Accounts Receivable Medical Record Management Medical Insurance Claims Account Reconciliation Health Reimbursement Arrangement Commercial Insurances Billing Regulatory Compliance Accounts Receivable Medical Practice Management Software Medical Billing Documentation Generation Organizational Structure

Other Skills

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Microsoft Excel
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Microsoft Word
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Communication
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Multitasking
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Time Management
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Detail Oriented
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Problem Solving

Roles & Responsibilities

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
Superior communication, problem-solving and follow-up skills

Requirements:

Research and resolve insurance denials and file appeals on denied or underpaid claims
Check claim status on payer systems and contact insurers 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 Accounts Receivable Aging reports and meet daily, monthly, and quarterly billing metrics

Job description

Spectrum Billing Solutions is a revenue cycle management company for healthcare organizations. We are looking to add a passionate and skilled Revenue Cycle 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 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)