Revenue Cycle AR Collections Specialist

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Spectrum Billing Solutions

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Spectrum Billing Solutions is a company that offers industry-leading revenue cycle management services tailored for healthcare providers. They provide a comprehensive suite of services including verification of benefits, utilization review, billing, insurance collections, and patient collections. Spectrum is renowned for its ability to maximize reimbursement through persistent claims management and its strong focus on customer service. Their innovative dashboard reporting further empowers clients to make informed decisions and improve operations. With a focus on customization and efficiency, Spectrum Billing Solutions acts as a strategic partner to its clients, aiming to enhance their financial standing and streamline their operations.

📋 Description

• 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 Accounts Receivable Aging reports • Meet daily, monthly, and quarterly billing metrics

🎯 Requirements

• 3+ years of experience in healthcare billing and collections • Experience in all aspects of Revenue Cycle Management • Experience in Behavioral and/or Mental Health billing preferred • 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)

🏖️ 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

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