RCM Collection Specialist

We're Hiring: RCM Collection Specialist!

As Collection Specialist, you will serve as a bridge between the billing department and third-party payers to resolve overdue claims and collect payments. In this role, you will be responsible for ensuring accurate billing and efficient collections processes within our healthcare organization. This position will report to the Director of Collection

Location: Ortigas Center, Philippines
Work Mode: Flexible office & remote (Hybrid)
Role: RCM Collection Specialist

What You'll Do:

• Monitor accounts to identify overdue payments and correct errors in previously submitted claims to ensure full payment
• Clearly communicate with team members, third-party payers, and customers regarding identified claims errors via phone and email
• Identify, analyze, and research trends in claims rejections and partial payments to create resolutions
• Prioritize activities to work denials and partial payments in a timely manner to avoid timely filing limitations
• Leverage reporting tools for comprehensive data analysis, creating targeted action plans to resolve billing issues
• Utilize coding systems (CPT, ICD-10) to guarantee meticulous billing and collections
• Process and reprocess medical claims in accordance with payer regulations, protocols, medical authorizations, and departmental guidelines.
  
  

What We're Looking For:
Minimum 2 years of relevant experience in RCM or collections
Strong analytical and problem-solving skills
Excellent communication and negotiation abilities
Proficiency with billing software and MS Office tools
Ability to work independently and collaboratively

Eager to advance your career Apply now and help us drive success!

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