Revenue Cycle Specialist

1 week ago


Atlanta, Georgia, United States SENTA Partners Full time
Job Summary

The A/R Collector is a key member of our team at SENTA Partners, responsible for collecting denied or pending insurance claims through insurance calls, online portal status, and trend analysis. This role requires a strong understanding of insurance claims and a proactive approach to resolving issues.

Key Responsibilities

• Review account information from various sources to identify potential issues
• Place telephone calls to insurance companies to resolve claims
• Rebill accounts as necessary to ensure accurate payment
• Analyze trends to identify areas for improvement and recommend rules to reduce denials
• Review account information to determine accuracy of contractual adjustments to account balances
• Answer inquiries from insurance companies regarding account balances
• Meet quota of minimum 60 claims per day
• Provide weekly trend analysis to leadership to improve practice collections

Requirements

• High school diploma or equivalent
• Experience in EMR systems such as Epic, ECW, Modmed, IMS, and Nextgen
• Understanding of Explanation of Benefits, Reason Codes, payments, adjustments, and denials
• Two years' experience in collection, billing, or related field

Why Join Our Team

At SENTA Partners, we value our team members and offer a supportive and dynamic work environment. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.

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