Infusion Revenue Cycle Management Specialist - Collections
KPH Healthcare Services · Longview, Texas, US
Overview The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances.
Job description
Overview The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances. Responsibilities: - Manage the collection process for outstanding claims, including contacting insurance companies, patients, and other responsible parties via phone, email, and written correspondence. - Investigate and resolve denied or partially paid claims, identifying root causes and implementing corrective actions. - Collaborate with internal teams to address claims challenges and improve revenue cycle. - Escalate complex or uncollectible accounts to management for further action. - Submit appeals/claim corrections as needed within timely filing limits. - Utilize billing software to maintain accurate and detailed records of all collection activities, including communication with payers and patients. - Payer projects as assigned. - Identify and report trends in claim denials and payment challenges. - Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about - Support accurate and comprehensive record-keeping to ensure up-to-date...