Claims Specialist

As a Claims Specialist, you will be integral in managing accounts receivable and ensuring timely collections within the healthcare sector. Reporting to the RCM Manager, your role focuses on utilizing your customer service skills and financial concepts knowledge to navigate medical collections effectively. You will leverage premium skills in phone etiquette and accounts payable, while also applying relevant skills such as negotiation and medical terminology. Claims Specialist is also responsible for ensuring that all medical records are submitted accurately and in a timely manner, maintaining compliance and supporting efficient billing processes. Your contributions will directly impact the financial health of the organization and enhance patient experience through effective communication and resolution of billing inquiries. Qualifications Strong customer service and communication skills Proficiency in medical terminology and financial concepts Experience in medical collections and accounts payable Ability to negotiate effectively and handle accounts receivable Familiarity with CPT coding, ICD-10, and financial software Solid math skills and experience in account reconciliation and analysis Responsibilities Manage accounts receivable by processing and collecting payments from insurance companies. Utilize strong communication and phone etiquette skills to address inquiries and resolve disputes. Apply medical terminology and financial concepts to ensure accurate billing and collections. Negotiate payment plans with clients while maintaining excellent customer service. Collaborate with the accounting team to reconcile accounts and manage accounts payable tasks. Complete medical records requests timely and accurately. #J-18808-Ljbffr Visionary Billing Solutions