RCM Collections Specialist III

4 days ago


Little Rock, Arkansas, United States MedEvolve Full time
Job Title: RCM Collections Specialist III

MedEvolve is seeking a highly skilled RCM Collections Specialist III to join our team. As a key member of our Revenue Cycle Management team, you will be responsible for performing a wide range of insurance billing duties to support our RCM services.

Key Responsibilities:
  • Work directly with insurance companies, healthcare providers, and patients to process and pay claims.
  • Review and appeal unpaid and denied claims.
  • Post adjustments based on client protocols and Explanation of Benefits (EOB).
  • Stay up-to-date on changes in billing and collections procedures.
  • Meet benchmarks for Accounts Receivable (AR) volume.
  • Work with outside collection companies based on client protocols.
  • Communicate with patients regarding outstanding AR issues.
  • Research and resolve problems, testing and documenting best practices.
Requirements:
  • Minimum 5 years of relevant experience or a combination of degree from an accredited college and 2 years of experience.
  • Systems application super user.
  • Excellent communication and customer service skills.
  • Ability to multitask and work in a fast-paced environment.
  • Strong attention to detail and basic or intermediate computer skills.
  • Knowledge of medical terminology and ability to maintain confidentiality under HIPAA standards.


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