Job Description
Position: Collection Specialist - Remote Department: Revenue Cycle Management Objective The collection specialist will focus primarily on resolving insurance claims from Medicare, Medicaid, and commercial plans that are underpaid or denied. They will use their payor knowledge and critical thinking skills to correctly identify denial root causes and effectively take action to get claims reprocessed
8:00 AM
Pull your AR worklist. Claims are sorted by payer, days in AR, and dollar amount. Priority: anything over 60 days old and over $1,…
8:30 AM
Work a batch of Medicare claims stuck in 'processing' status. Log in to the Medicare FISS portal, check claim status on each one.…
9:30 AM
Call the Cigna provider line for a claim that's been in process for 45 days. On hold for 18 minutes. The rep tells you the claim w…
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