Collections Specialist

Responsibilities: Responsible for resolving outstanding payer balances and managing payer denials through appeals and resubmissions. The role involves reconciling open balances and collaborating with teams to maximize reimbursement in compliance with regulations.

Requirements: Requires a High School Diploma or GED and at least 2 years of healthcare accounts receivable experience. Candidates must have over a year of experience with Commercial, Medicare, or Medicaid payers.

Key skills: Accounts Receivable, Payer Denials Resolution, Claims Resubmission, Medical Billing, Payer Policy Analysis, Reconciliation, Revenue Cycle Management, Patient Financial Services, Healthcare Billing, AR Adjustments, KPI Tracking, Communication

Keywords: Collections Specialist, AR Recovery, Payer Denials, Medicare, Medicaid, Commercial Payers, Revenue Cycle, Medical Necessity Denials, Observation Billing, AAHAM, Patient Financial Services, Healthcare Finance, Claims Processing, Acute Billing, Critical Access Billing