RCM Insurance Collections Specialist

Company: Spectrum Billing Solutions
Location: Skokie
Posted on: May 26, 2023

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