Ambulatory Claims Specialist

We are looking for a Collections Specialist to support revenue cycle operations for a 6-month Contract position. This role focuses on resolving accounts receivable issues, reviewing payment activity, and addressing escalated billing and collection matters with accuracy and professionalism. The ideal candidate brings healthcare billing and collections experience, works well in a deadline-driven setting, and contributes to process improvement and team support activities.

Responsibilities:

• Manage assigned accounts receivable activities by researching outstanding balances, following up on payment issues, and taking appropriate collection actions within established guidelines.

• Review payment transactions carefully and complete transfers or adjustments accurately in accordance with standard procedures and billing requirements.

• Handle routine escalations and help resolve more involved account concerns by investigating discrepancies, identifying root causes, and partnering with team leads when needed.

• Support teammates with higher-complexity account work, operational questions, and day-to-day problem solving related to billing and collections.

• Participate in special projects, workflow coordination efforts, and the development or maintenance of client and departmental job aids.

• Contribute to team huddles, working sessions, and on-the-job training activities to help reinforce consistent processes and productivity expectations.

• Monitor trends in inventory, workflow bottlenecks, and recurring issues, then communicate findings and improvement opportunities to leadership.

• Collaborate with internal and offshore partners to address account issues, maintain service levels, and meet production timelines.

• Organize and prioritize daily assignments to ensure deadlines are met and attend workforce management discussions to support performance goals.

Qualifications:

• At least 3 years of experience in healthcare revenue cycle operations, including Ambulatory medical billing and collections.

• Minimum of 1 year of Epic experience

• Minimum of 1 year of relevant experience in a healthcare-related setting.

• Working knowledge of accounts receivable follow-up, payment review, billing support, and collection processes.

• Intermediate proficiency with Microsoft Office applications, including Excel, Word, and Outlook.

• Ability to interpret written and verbal instructions and apply established procedures to routine and moderately complex issues.

• Strong research, troubleshooting, and problem-solving skills with attention to detail and accuracy.

• Ability to perform effectively in a fast-paced, deadline-oriented environment while working both independently and collaboratively.

• Front-end claims or A/R experience is preferred.

Compensation

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