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Commercial Collections Specialist - Physician Practices & Ambulatory Surgery Centers

MDManage India Private Limited

We are seeking an experienced and detail-oriented professional to join our team as a Full-Time On-Site Commercial Collections Specialist. This position will assist management in overseeing accounts receivable, and insurance collections for physician practices and ambulatory surgery centers (ASCs), with an exclusive focus on commercial insurance carriers and maximizing reimbursement. The ideal candidate will possess strong knowledge of commercial payer policies, denial management, and accounts receivable follow-up within a high-volume healthcare environment. Position Type Full-Time On-Site office in Edison NJ Monday – Friday Responsibilities Assist in monitoring commercial collection activities for physician practices and ambulatory surgery centers. Review and oversee outstanding accounts receivable to ensure timely payment and resolution. Conduct insurance follow-up with commercial payers regarding unpaid, denied, or underpaid claims when escalated by commercial AR team. Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify reimbursement discrepancies and appeal opportunities. Investigate and resolve claim denials, payment variances, and reimbursement issues. Ensure billing accuracy and compliance with payer guidelines, contractual requirements, and industry regulations. Analyze aging reports and prioritize collection efforts to reduce outstanding receivables. Work closely with accounts receivable teams and management to maximize reimbursement and improve collection performance. Monitor payer trends and identify systemic issues impacting revenue cycle performance. Assist with reporting and performance metrics related to collections, denials, and accounts receivable. #J-18808-Ljbffr MDManage India Private Limited

Vacancy posted more than 2 months ago

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