🌟 We're Hiring: RCM Collection Specialist! 🌟

As Collection Specialist, you will serve as a bridge between the billing department and third-party payers to resolve overdue claims and collect payments. In this role, you will be responsible for ensuring accurate billing and efficient collections processes within our healthcare organization. This position will report to the Director of Collection

📍 Location: Ortigas Center, Philippines
⏰ Work Mode: Flexible office & remote (Hybrid)
💼 Role: RCM Collection Specialist

What You'll Do:

Monitor accounts to identify overdue payments and correct errors in previously submitted claims to ensure full payment
Clearly communicate with team members, third-party payers, and customers regarding identified claims errors via phone and email
Identify, analyze, and research trends in claims rejections and partial payments to create resolutions
Prioritize activities to work denials and partial payments in a timely manner to avoid timely filing limitations
Leverage reporting tools for comprehensive data analysis, creating targeted action plans to resolve billing issues
Utilize coding systems (CPT, ICD-10) to guarantee meticulous billing and collections
Process and reprocess medical claims in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines.

What We're Looking For:
✅ Minimum 2 years of relevant experience in RCM or collections
✅ Strong analytical and problem-solving skills
✅ Excellent communication and negotiation abilities
✅ Proficiency with billing software and MS Office tools
✅ Ability to work independently and collaboratively

Eager to advance your career? 🚀 Apply now and help us drive success!

#revenuecyclemanagement #billing #claimsprocess #endtoendclaims #fullcyclebilling #epic #emr #availity #medicaid #veteransaffair #startasap

المهارات المطلوبة

Revenue Cycle Management (RCM) experienceMedical claims processing and reprocessingCPT and ICD-10 coding knowledgeDenial management and prioritization to avoid timely filingAccount monitoring and collectionsThird-party payer communication via phone and emailAnalysis of claims rejections and partial payment trendsUse of reporting tools and data analysis to create action plansBilling software proficiencyMS Office proficiencyNegotiation and customer communication skillsFamiliarity with Epic/EMR systemsFamiliarity with Availity platformKnowledge of government payers (Medicaid, Veterans Affairs)

وظائف مشابهة