Specialist II, RCM Collections

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mid

$55k–$60k

H1B: no

Grow Therapy Specialist II, RCM Collections at Grow Therapy manages denied claims and optimizes collections processes. The role involves researching denials, resubmitting claims, drafting appeals, and suggesting upstream fixes.

Responsibilities

We're looking for an experienced Specialist II, Collections, passionate about improving the landscape of mental healthcare. This position will help ensure Grow’s financial accuracy by working claims denials and resolving issues for correct processing
Your responsibilities will include:
Researching and finding solutions to denied claims.
Completing portal inquiries and/or outbound calls to insurance reps to investigate denial reasons.
Resubmitting claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
Drafting appeals for relevant claim denials, adhering to medical policies for all insurance carriers.
Ensuring patient data in the software is correct and up to date, and contact the appropriate person for any inconsistencies.
Prioritizing claim denials based on the internal Claim Prio Model.
Flagging root causes and craft suggested fixes that can be made upstream within the RCM process to reduce denial inflow.
You’d be a great fit if you have...
3 years of Medical Billing experience.
Technical Skills - proficient in multitasking and working through different systems.

Qualification

3 years of Medical Billing experience

Required

3 years of Medical Billing experience

Benefits

Dental
Vision
Equity/RSU
Parental Leave
Wellness

Company

Grow Therapy

View company page

Source: ashby

Active within the past hour

Remote-friendly

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Must-Have Skills for This Role

Medical BillingCMS 1500 formsClaims DenialsAppealsData Analysis

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