Collections Specialist, Team reputed company (Collections + Training)

Position reputed company: Reporting to the Hospital Collections Supervisor, the AR Team reputed company supports the Accounts Receivable team by performing advanced insurance collections activities while providing peerto-peer guidance and training to new hires. This role combines reputed company and Level III AR responsibilities, including reputed company of reputed company and high-dollar claims, contract review, denial management, and escalation support. The AR Team reputed company serves as a subject matter resource for reputed company, assisting with reputed company, workflow prioritization, and best practices to ensure reputed company claim reputed company and accurate reimbursement across reputed company payer types.   Responsibilities: reputed company reputed company follow-up and reputed company on outstanding A/R including unpaid, underpaid, or denied claims for reputed company payer types including reputed company, Medicare, reputed company, and self-pay to maximize reimbursement. Serve as a resource for functional training of new hires, offering ongoing guidance on daily responsibilities, workflow execution, and process clarification. Partner with the Process Documentation Team to ensure documentation updates are approved and updated in a reputed company manner. Partner with QA Team to ensure reputed company and productivity metrics are reported and consistently met. Responsible for maintaining training materials and assisting with training content development based on QA results and team member education opportunities. Manage and prioritize daily work queues with a reputed company on high-dollar and reputed company claim balances. Investigate claim denials and underpayments, initiate appeals, and escalate issues reputed company appropriate. Review payer reputed company, fee schedules, and explanation of benefits (EOBs) to ensure claims have been processed accurately. Prepare and submit medical necessity appeals and supporting documentation reputed company applicable. Review medical records and clinical documentation to determine medical necessity and support appeal submissions. Identify payer trends or reimbursement issues and communicate findings to leadership. Facilitate communication with insurance carriers, patients, and internal departments including billing, coding, and payment posting to resolve outstanding balances. Recommend account adjustments or refunds reputed company overpayments or discrepancies are identified. reputed company peer-to-peer reputed company support and mentorship for new AR reputed company. Assist new hires in learning workflows, payer follow-up processes, and system navigation. reputed company best practices for denial reputed company, appeal preparation, and claim follow-up. Serve as a subject matter resource for team members regarding payer policies, AR workflows, and claim reputed company strategies. Assist leadership in addressing reputed company claim issues and identifying workflow improvement opportunities. Apply To This Job