Collections Specialist

🌟 We're Hiring: Collections Specialist! 🌟

We are looking for a detail-oriented and proactive Collections Specialist to join our team in Bangalore Urban, India. As a Collections 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.

📍 Location: Bangalore Urban, India
⏰ Work Mode: Work from Office
💼 Role: Collections Specialist

🎯 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

✅ Minimum 2 years of experience in medical billing and collections
✅ Experience working with third-party payers, such as VA, Medicaid, Medicare Advantage, and Worker’s Compensation
✅ Experience with revenue cycle management
✅ Experience working with UB04 and HCFA 1500 forms
✅ Familiarity with Electronic Medical Record (EMR) systems
✅ Knowledge of health care collections procedure codes and techniques
✅ Proficiency in using billing software (Clearinghouse) and electronic health records (EHR)
✅ Proficiency in reading and interpreting ERAs and EOB for all payers
✅ In-depth knowledge of healthcare billing codes (CPT, ICD-10)
✅ Proven success in reducing accounts receivable and improving collections
✅ In-depth knowledge of HIPAA compliance
✅ Excellent follow-up, time management, and communication skills required
✅ Familiarity with PowerBI preferred
✅ Proficiency in MS Office Suite (Outlook, Word, Excel) required

Ready to make an impact? 🚀 Apply now and let's grow together!