Hospital Collections Specialist

Summary of Job 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 Skills & RequirementsQualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required including computer skills/level. • 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

Created: 2026-03-04