Finance Collections Specialist

Job Description

REQUIREMENTS

• High school diploma or equivalent required; associate’s degree in healthcare or a related field preferred.
• 2+ years of experience in medical billing, insurance collections, or healthcare accounts receivable required.
• Working knowledge of commercial insurance, government payers, and managed care contracts required.
• Strong attention to detail with excellent organization, problemsolving, and communication skills.

RESPONSIBILITIES

• Manage insurance and thirdparty payer collections.
• Submit insurance claims and ensure accurate billing.
• Review insurance payments and resolve payment discrepancies.
• Post payments, adjustments, and refunds within the billing system.
• Maintain accurate account documentation and followup activities.
• Review insurance correspondence and resolve account issues.
• Verify revenue codes and insurance coverage.
• Assist the Utilization Management team with insurance approvals as needed.
• Collaborate with internal teams to support timely reimbursement and client financial responsibility.
• Maintain HIPAA compliance and accurate documentation.

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