Revenue Cycle Management Specialist - Collections

The Revenue Cycle Management Specialist- Collections is responsible for ensuring timely collection of outstanding balances and resolving denied or partially paid claims. This role involves contacting various parties, investigating claims, collaborating with internal teams, and maintaining accurate records. The position requires ongoing compliance with regulations and adherence to best practices.

Requirements

• Manage the collection process for outstanding claims.
• Investigate and resolve denied or partially paid claims.
• Collaborate with internal teams to improve revenue cycle.
• Submit appeals/claim corrections as needed.
• Utilize billing software to maintain accurate records.
• Communicate with patients about billing issues.
• Report trends in claim denials and payment challenges.
• Participate in quality improvement programs.
• Ensure compliance with laws and regulations.
• Complete mandatory and regulatory training programs.