Negotiations Specialist

Job Summary

To support the revenue cycle management team, the full-time Negotiations Specialist will manage the collections process for negotiated claims, ensuring timely follow-up on unpaid claims and collaborating with patients and insurance companies to resolve billing discrepancies in a fully remote environment.

Key responsibilities

• Manage the collections process for negotiated claims, including follow-up on unpaid claims and patient balances
• Utilize revenue cycle management software to track collection activities and ensure timely follow-up
• Analyze unpaid claims and denials to identify root causes and take appropriate actions for resolution

Required qualifications

• High school diploma or equivalent; associate's or bachelor's degree in healthcare administration preferred
• Proven experience as a Collections Specialist in a healthcare setting with a focus on revenue cycle management
• In-depth knowledge of medical billing, coding processes, and insurance claim submission
• Familiarity with insurance industry regulations, billing guidelines, and compliance requirements
• Proficiency in revenue cycle management software and tools for managing collections activities