RCM Specialist: Denials & Collections Expert

Priority Dispatch Corp.; Hoffman Estates (IL); On-site; USD 45,000 - 65,000; Full time

Job summary

Priority Dispatch Corp. is seeking a detail-oriented collections specialist to support Home Infusion and Specialty Pharmacy revenue cycle management. You will contact insurers, patients, and other parties to collect on claims and address denials.

You will review CPT/HCPCS/ICD-10 coding, ensure HIPAA compliance, and use Excel and pharmacy software to document all actions. Collaboration with internal teams is essential to improve outcomes.

Qualifications

• Read and interpret medical records for billing purposes.
• Understand CPT, HCPCS, ICD-10, and NDC codes.
• Ensure HIPAA compliance and accurate documentation.

Responsibilities

• Manage the collection process for outstanding claims via phone, email, and written correspondence.
• Investigate denied or partially paid claims and implement corrective actions.
• Collaborate with internal teams to improve revenue cycle and reduce denials.
• Submit appeals/claim corrections within timely filing limits.
• Maintain accurate records of all collection activities in billing software.
• Identify trends in claim denials and payer payment challenges.
• Communicate with patients about billing issues and financial hardship options.
• Ensure compliance with laws and accreditation standards.

Skills

Medical billing

Denials management

Excel

Outlook

Communication

HIPAA compliance

Self-directed

Attention to detail

Pharmacy terminology

Education

High school diploma or GED

Tools

CPR+

Wellsky

CareTend

Job description

Priority Dispatch Corp. is seeking a detail-oriented collections specialist to support Home Infusion and Specialty Pharmacy revenue cycle management. You will contact insurers, patients, and other parties to collect on claims and address denials.

You will review CPT/HCPCS/ICD-10 coding, ensure HIPAA compliance, and use Excel and pharmacy software to document all actions. Collaboration with internal teams is essential to improve outcomes.