Rcm Ar Collections Specialist

Summary

Join Spectrum Billing Solutions, a revenue cycle management company, as a passionate and skilled RCM AR Collections Specialist. This remote or hybrid position focuses on optimizing reimbursement through insurance collections. You will handle all aspects of revenue cycle collections, including denial management, appeals, and reimbursement rate negotiation. The ideal candidate possesses extensive experience in healthcare billing and collections, a strong understanding of insurance guidelines, and superior communication skills. Spectrum offers a close-knit team, growth opportunities, competitive salary, and comprehensive healthcare benefits.

Requirements

• 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
• 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)

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

Preferred Qualifications

Experience in Behavioral and/or Mental Health billing

Benefits

• A close-knit team of talented and skilled individuals
• Growth opportunities within the organization
• Competitive salary
• Healthcare benefits including medical, dental & vision
• Flexible PTO