Spectrum Billing Solutions is a revenue cycle management company serving healthcare organizations. The company is seeking a skilled Revenue Cycle AR Collections Specialist to support optimal reimbursement through insurance collections.
This role covers multiple areas of revenue cycle collections, including denial management, appeals, reimbursement rate negotiation, and accounts receivable collections. The position is remote or home/office hybrid.
Requirements & Qualifications
Qualifications
- 3+ years of experience in healthcare billing and collections
- Experience across all aspects of revenue cycle management
- Experience with behavioral and/or mental health billing preferred
- Knowledge of commercial insurance and government payor guidelines
- Understanding of insurance benefits and reimbursement
- Proficiency in medical terminology, HIPAA, and other relevant governmental regulations
- Organized and detail-oriented
- Ability to multitask and meet deadlines
- Ability to analyze and reconcile accounts and follow detailed procedures efficiently
- Strong communication, problem-solving, and follow-up skills
- Strong computer skills, including Word, Excel, and billing software
Responsibilities
- Research and resolve insurance denials
- File appeals on denied or underpaid claims
- Check claim status in payor systems and contact insurers as needed
- Send medical records and supporting documentation to payors upon request
- Follow up with patients and payors for payments
- Negotiate out-of-network reimbursement rates with insurers
- Review accounts receivable aging reports
- Meet daily, monthly, and quarterly billing metrics
Benefits & Perks
Benefits and Perks
- Competitive salary
- Healthcare benefits including medical, dental, and vision
- Flexible PTO
- Close-knit team environment
- Growth opportunities within the organization
Location
Illinois, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
4 months ago
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