Senior Insurance Collections Specialist - Revenue Cycle Management
USA Clinics Group, Northbrook, IL, United States
Job Summary
We are seeking a detail-oriented and analytical
Senior Insurance Collections Specialist
with strong expertise in revenue cycle processes. The ideal candidate will have hands‑on experience in payment posting, denial management, and identifying trends in insurance reimbursements.
This role requires a proactive mindset with a focus on process improvement and leveraging automation, including AI-driven solutions.
Position Details
Location: Northbrook, IL
Schedule: Full‑Time, Monday‑Friday (onsite)
Bilingual: English & Spanish (Preferred)
Compensation: $24‑$28hr based on experience and qualifications.
Key Responsibilities
Perform accurate and timely
payment posting
for all payer types (insurance, patient, and third‑party).
Manage
Accounts Receivable (A/R)
follow‑ups to ensure timely collections and resolution of outstanding balances.
Analyze and
resolve claim denials , including root‑cause identification and corrective actions.
Identify
denial patterns and payer trends , and recommend process improvements to reduce recurring issues.
Work closely with billing, coding, and payer teams to ensure proper claim submission and reimbursement.
Monitor aging reports and prioritize accounts for follow‑up.
Maintain compliance with payer guidelines and internal policies.
Document actions taken on accounts clearly and accurately in the system.
Collaborate with cross‑functional teams to improve overall revenue cycle performance.
Proactively identify opportunities to
streamline workflows and implement automation , including AI‑based tools for denial prediction, posting accuracy, and trend analysis.
Required Skills & Qualifications
Strong understanding of
Accounts Receivable (A/R)
processes in healthcare revenue cycle.
Hands‑on experience with
payment posting and reconciliation .
In‑depth knowledge of
denials management and resolution strategies .
Ability to
analyze payer behavior and identify trends
in insurance reimbursements.
Familiarity with
EOBs, ERAs, CPT/ICD codes , and insurance guidelines.
Strong analytical and problem‑solving skills.
Experience with healthcare billing systems and EHR/RCM platforms.
Proficiency in Excel and reporting tools.
Preferred Qualifications
Experience in
automation initiatives or AI‑based tools
within revenue cycle management.
Knowledge of process improvement methodologies (Lean, Six Sigma, etc.).
Certification in medical billing/coding (e.g., CPC, CCS) is a plus.
Key Competencies
Attention to detail
Analytical thinking
Process improvement mindset
Strong communication skills
Adaptability to new technologies
Benefits
Health insurance
(medical, dental, vision)
Retirement Plan
Paid time off (PTO)
(vacation, sick)
#J-18808-Ljbffr
We are seeking a detail-oriented and analytical
Senior Insurance Collections Specialist
with strong expertise in revenue cycle processes. The ideal candidate will have hands‑on experience in payment posting, denial management, and identifying trends in insurance reimbursements.
This role requires a proactive mindset with a focus on process improvement and leveraging automation, including AI-driven solutions.
Position Details
Location: Northbrook, IL
Schedule: Full‑Time, Monday‑Friday (onsite)
Bilingual: English & Spanish (Preferred)
Compensation: $24‑$28hr based on experience and qualifications.
Key Responsibilities
Perform accurate and timely
payment posting
for all payer types (insurance, patient, and third‑party).
Manage
Accounts Receivable (A/R)
follow‑ups to ensure timely collections and resolution of outstanding balances.
Analyze and
resolve claim denials , including root‑cause identification and corrective actions.
Identify
denial patterns and payer trends , and recommend process improvements to reduce recurring issues.
Work closely with billing, coding, and payer teams to ensure proper claim submission and reimbursement.
Monitor aging reports and prioritize accounts for follow‑up.
Maintain compliance with payer guidelines and internal policies.
Document actions taken on accounts clearly and accurately in the system.
Collaborate with cross‑functional teams to improve overall revenue cycle performance.
Proactively identify opportunities to
streamline workflows and implement automation , including AI‑based tools for denial prediction, posting accuracy, and trend analysis.
Required Skills & Qualifications
Strong understanding of
Accounts Receivable (A/R)
processes in healthcare revenue cycle.
Hands‑on experience with
payment posting and reconciliation .
In‑depth knowledge of
denials management and resolution strategies .
Ability to
analyze payer behavior and identify trends
in insurance reimbursements.
Familiarity with
EOBs, ERAs, CPT/ICD codes , and insurance guidelines.
Strong analytical and problem‑solving skills.
Experience with healthcare billing systems and EHR/RCM platforms.
Proficiency in Excel and reporting tools.
Preferred Qualifications
Experience in
automation initiatives or AI‑based tools
within revenue cycle management.
Knowledge of process improvement methodologies (Lean, Six Sigma, etc.).
Certification in medical billing/coding (e.g., CPC, CCS) is a plus.
Key Competencies
Attention to detail
Analytical thinking
Process improvement mindset
Strong communication skills
Adaptability to new technologies
Benefits
Health insurance
(medical, dental, vision)
Retirement Plan
Paid time off (PTO)
(vacation, sick)
#J-18808-Ljbffr