Hospital Collections Specialist

Hospital Collections Specialist The role of a Collection Specialist in the Revenue Cycle Management department is to follow up on any unpaid insurance claims. Essential Duties and Responsibilities: Working of aged accounts Complex denial research Participate in client meetings Answer patient, client, or insurance carrier questions regarding claims Maintain the strictest confidentiality in accordance with all HIPAA guidelines/regulations Stay abreast of code changes, updates to reimbursement guidelines, and coverage policies Qualifications: Working knowledge of healthcare code sets Working knowledge of clean claim practices Working knowledge of the adjudication process Ability to research and follow claims appeal guidelines/processes Understanding of the complete healthcare revenue cycle Understanding of provider contracts and credentialing Understanding of basic accounting functions Proficient in Microsoft Outlook, Word, Excel Organized and detail-oriented Education and/or Experience: Previous experience in a healthcare billing capacity required. Previous experience with hospital based follow-up desired. Previous experience with electronic health records/practice management system desired. Language Skills: Employees are required to speak, read and write English. Certificates / Licenses / Registrations: None required, coding certificates desirable (CPC, CCS-P, CCS, etc.) Physical Demands / Work Environment: All employees must be able to lift 50lbs Full Benefits

Created: 2026-03-04