RCM Insurance Collections Specialist
Company: Spectrum Billing Solutions
Location: Skokie
Posted on: May 26, 2023
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Job Description:
Spectrum Billing Solutions is a revenue cycle management company
for healthcare organizations. We are looking to add a passionate
and skilled RCM Insurance 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.Responsibilities:Research and resolve insurance
denialsFile appeals on denied or underpaid claimsCheck claim status
on appropriate payor systems and contact insurances as neededSend
Medical Records and other documentation to payors as
requestedFollow up with patients and payors for paymentsNegotiate
out-of-network reimbursement rates with insurancesReview of
Accounts Receivable Aging reportsMeet daily, monthly, and quarterly
billing metricsQualifications: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 PTOAaUpitzZup
Keywords: Spectrum Billing Solutions, Skokie , RCM Insurance Collections Specialist, Accounting, Auditing , Skokie, Illinois
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