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Healthcare Collections Specialist – RCM
OI Infusion. Follow up with insurance companies through payer portals and phone calls to determine claim status and secure appropriate reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and insurance collections, with a strong focus on resolving denied and underpaid claims through effective communication and problem-solving. Proficient in interpreting billing codes and collaborating with revenue cycle teams to ensure accurate reimbursement.
Highest-signal resume keywords
Medical Billing ExperienceClaims Resolution ExpertiseKnowledge of Medicare and MedicaidCPT and ICD-10 Coding ProficiencyStrong Research and Problem-Solving Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaims ProcessingCPT CodingICD-10 CodingHCPCS CodingEOB InterpretationDenial Code AnalysisReconsiderations and AppealsInsurance CollectionsPayment Discrepancy Resolution
Soft Skills
Strong Communication SkillsProblem-Solving AbilityTime ManagementCollaborationAdaptability
Industry Keywords
Insurance RequirementsRevenue Cycle ManagementInfusion BillingPayer PortalsDenial Trends
About the role
Key responsibilities & impact- Follow up with insurance companies through payer portals and phone calls to determine claim status and secure appropriate reimbursement
- Research payment discrepancies, identify root causes, and take corrective action on denied and underpaid claims
- Submit supporting documentation for reconsiderations and appeals and follow payer requirements and deadlines
- Interpret explanations of benefits, denial codes, and billing information to determine next steps
- Partner with revenue cycle colleagues to correct billing, benefits, or authorization errors and identify denial trends
- Document follow-up activity, respond to payer correspondence, and keep accounts updated
- Meet established productivity and quality standards while managing assigned accounts
Requirements
What you’ll need- Previous experience in medical billing and insurance collections, including professional billing
- Experience resolving denied and underpaid claims through reconsiderations and appeals
- Knowledge of Medicare, Medicaid, and commercial insurance requirements
- Working knowledge of CPT, HCPCS, and ICD-10 coding
- Ability to interpret EOBs and insurance denial reason codes
- Strong research, problem-solving, and written and verbal communication skills
- Ability to prioritize accounts, manage deadlines, and work independently in a remote setting
- Collaborative approach and willingness to learn and apply feedback
- Experience with infusion billing or insurance collections preferred
- Must be legally authorized to work in the United States
- Must not require sponsorship now or in the future to work in the United States