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!