Healthcare Collections Specialist

Job Summary

Managing account follow-up for underpaid and overpaid claims, the full-time Healthcare Collections Specialist will resolve discrepancies, analyze trends, and collaborate with internal departments to optimize revenue cycle processes in a remote setting.

Key responsibilities

• Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues as needed
• Reconciles account balances and adjustments to ensure compliance with contractual terms
• Identifies and analyzes trends in underpayments and overpayments to recommend process improvements

Required qualifications

• H.S. Diploma or GED required; Associate Degree or higher preferred
• 1-2 years of experience in healthcare collections, revenue cycle, or contract management required
• Familiarity with payer contracts and healthcare reimbursement methodologies preferred