Position Details
**Overview**
The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances.
**Responsibilities**
+ Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence.
+ Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions.
+ Collaborate with internal teams to address claims challenges and improve revenue cycle.
+ Escalate complex or uncollectible accounts to management for further action.
+ Submit appeals/claim corrections as needed within timely filing limits.
+ Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients.
+ Payer projects as assigned.
+ Identify and report trends in claim denials and payment challenges...