Collections Specialist - Healthcare - Medical billing 2 To 4 years

If interested to apply for this role, please send in your updated resume to [email removed] with other details

Total years of Exp-

Relevant years of exp in Collections-

Relevant years of exp in RCM-

Current Ctc-

Notice period-

Are you ready to work all 5 days a week from office in USA shift?

Reason for leaving your last company

Role & responsibilities

• Monitor accounts to identify overdue payments and correct errors in previously submitted claims to ensure full payment • Clearly communicate with team members, third-party payers, and customers regarding identified claims errors via phone and email • Identify, analyze, and research trends in claims rejections and partial payments to create resolutions • Prioritize activities to work denials and partial payments in a timely manner to avoid timely filing limitations • Leverage reporting tools for comprehensive data analysis, creating targeted action plans to resolve billing issues • Utilize coding systems (CPT, ICD-10) to guarantee meticulous billing and collections • Process and reprocess medical claims in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines

Preferred candidate profile

Minimum 2 years of experience in medical billing and collections • Experience working with third-party payers, such as VA, Medicaid, Medicare Advantage, and Workers Compensation • Experience with revenue cycle management • Experience working with UB04 and HCFA 1500 forms • Familiarity with Electronic Medical Record (EMR) systems • Knowledge of health care collections procedure codes and techniques • Proficiency in using billing software (Clearinghouse) and electronic health records (EHR) • Proficiency in reading and interpreting ERAs and EOB for all payers • In-depth knowledge of healthcare billing codes (CPT, ICD-10) • Proven success in reducing accounts receivable and improving collections • In-depth knowledge of HIPAA compliance • Excellent follow-up, time management, and communication skills required • Familiarity with PowerBI preferred • Proficiency in MS Office Suite (Outlook, Word, Excel) required Education and Qualifications • Associate degree required in Healthcare Administration, Business, or a related field (bachelor's degree preferred) • Equivalent combination of education and experience will be considered