The Collections Specialist is responsible for managing and collecting on accounts receivable for insurance carrier plan services billed through hospital and physician billing systems. This role focuses on timely and accurate claims follow-up, payer corrections, and supporting departmental cash collection and AR goals.
Only applicants from the following states may apply: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, and Wisconsin.
Requirements & Qualifications
Education
- High school diploma or equivalent
- Associate degree preferred
Experience
- 3+ years of medical office or medical billing/collections experience in a hospital or centralized billing setting
- 4+ years of experience in a centralized billing setting preferred
- Experience with multiple specialty billing, collections, and denials preferred
Knowledge and Skills
- Knowledge of CPT, HCPCS, and ICD-9/10 codes
- Working knowledge of insurance explanation of benefits (EOBs)
- Strong understanding of remittance and remark codes
- Familiarity with multiple payer requirements for claims processing
- Experience with commercial, Medicare Part A and B, Medicaid, and managed care billing guidelines preferred
- Proficiency with Microsoft Office, especially Excel and Word
- Good communication skills
- Professional customer service skills
- Ability to maintain confidentiality and handle sensitive information
- Ability to work across multiple systems, including claims eligibility, payer claims systems, and AR management systems
- Ability to meet email response expectations within 24 to 48 hours
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago