The Negotiations Specialist manages the revenue cycle process by handling collections for negotiated claims and resolving unpaid invoices or denials. They collaborate with billing teams and communicate with patients and insurance providers to ensure accurate financial reconciliation.
The Payment Posting Specialist is responsible for accurately posting and reconciling insurance and patient payments while validating reimbursements against fee schedules. They must also analyze payment trends, manage denials, and maintain clear communication with payers, providers, and patients.
The specialist will investigate and resolve denied or underpaid medical claims while conducting follow-ups with insurance companies and patients. They are responsible for ensuring accurate billing practices and maximizing reimbursements to support healthcare providers.
The Insurance Verification Specialist is responsible for executing insurance verifications for all patients and maintaining accurate patient benefit information. They must also serve as a member of the administrative team while ensuring clear communication with patients and insurance providers.
The Patient Accounts Specialist manages outstanding patient balances and supports revenue recovery through proactive outreach and account resolution. They collaborate with internal teams to resolve billing discrepancies and ensure a positive financial experience for patients while maintaining regulatory compliance.
The Billing Coordinator is responsible for managing medical billing activities, including submitting claims, resolving discrepancies, and following up on outstanding payments. They also coordinate with departments and patients to ensure accurate invoicing and timely payment processing.
