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The Lead Collections Specialist plays a pivotal role in our healthcare environment, focusing on engaging with payers to efficiently resolve issues and expedite the payment of outstanding balances, payment variances, denied, and appealed claims.
High School Diploma or GED and a minimum of 3 years of experience specifically in insurance follow-up, collections, or revenue cycle management within a healthcare setting.
Demonstrated expertise in reading Explanation of Benefits (EOB), navigating insurance plans, understanding member eligibility, and interpreting medical billing intricacies.
Proven track record in claims processing, reimbursement, and familiarity with overturning appeals. Proficient in utilizing industry-standard codes such as CPT, ICD10, UB04, and 837 terminologies for accurate documentation and communication.
Excellent communication skills with a strong emphasis on clear and detailed notetaking in the system. Outstanding phone etiquette coupled with exceptional internal and external customer service skills.
5 years or more of direct experience in insurance follow-up, collections, or revenue cycle management within a healthcare environment. Advanced proficiency in Microsoft Word and Excel for data analysis, reporting, and documentation. Demonstrated mastery in utilizing patient accounting technology solutions for streamlined processes and efficient workflows. Comprehensive understanding of commercial, government, and other insurance guidelines applications. AAHAM, HFMA or HealthStream Revenue Cycle Certification preferred.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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