Claims Specialist

SummarySeeking experienced professionals to handle accounts receivable follow-up, focusing on resolving appeals and denials within healthcare revenue management. Candidates will assist in optimizing financial performance by managing facility patient accounts, supporting billing processes, and ensuring timely resolution of claims issues. The role involves proactive review, analysis, and communication to improve collection outcomes and maintain compliance.RequirementsHigh school diploma or equivalent required; bachelor's degree preferredPrevious supervisory experience is a plusMinimum of two years' experience in patient account management in a facility, hospital, or physician practice settingProficiency with word processing and spreadsheet softwareStrong knowledge of bookkeeping, billing, and collections practicesExcellent communication, organizational, and interpersonal skillsGood personal credit reportResponsibilitiesAssist with billing, collections, insurance verification, and medical recordsReview and analyze accounts receivable activities, identify issues, and proactively recommend improvementsSupport claim resolution, appeals, and denials resolution effortsEnsure accuracy and timeliness of daily and monthly AR processesMaintain compliance with policies and procedures, internal controls, and contractual agreementsAssist with preparing financial reports, performance analysis, and month-end close proceduresSupport system maintenance related to revenue cycle management and accounts receivable reportingKeep skills current through ongoing training and technology adoption

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