Revenue Cycle Billing and Collections Specialist

Responsibilities:

• Research and resolve insurance denials
• File appeals on denied or underpaid claims
• Check claim status on appropriate payor portals and contact insurances as needed
• Send Medical Records and other documentation to payor upon request 
• Conduct Accounts Receivable Claims Follow up with patients and payors for payments
• Negotiate out-of-network reimbursement rates with insurances
• Review of Accounts Receivable Aging reports and work claims based on priority. In addition to tracking, monitoring and escalating payor trends that may impact cash collection goals
• Meet daily, monthly, and quarterly billing metrics

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Qualifications:

• 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