Health Claims Collections Specialist

Job Summary

A company is looking for a Health Claims Collections Specialist II.

Key Responsibilities

• Manage a portfolio of high-priority and complex claims requiring advanced solutions
• Analyze denials and execute action plans including appeals and payer outreach
• Research payer guidelines and communicate relevant changes to peers and leadership

Required Qualifications

• High School Diploma or Equivalent Experience
• Minimum 2+ years of medical collection or revenue cycle experience
• Advanced knowledge of payer guidelines and appeals processes
• Proficiency in reading EOBs and understanding ICD-10 and HCPCs
• Familiarity with Microsoft Office and medical billing platforms