RCM Collection Specialist

Job description:

Overview

This full-time role at Innobot Health requires a focused, motivated, and detail-oriented professional to serve as a Healthcare RCM Collection Specialist. Under the guidance of the Director of RCM, the specialist will be primarily responsible for obtaining the status of submitted claims by accessing payer portals and calling insurance companies. The goal is to accurately determine the current claim disposition and document updates in AdvancedMD or other client-provided systems.

This position is central to ensuring timely reimbursement and uncovering any issues that could delay or prevent payment. The ideal candidate thrives in a fast-paced environment, communicates clearly with payers, and is proficient in documenting complex claim status information for downstream resolution or follow-up.

Responsibilities

● Essential Duties and Responsibilities

● Obtain claim status through payer portals and direct phone calls to insurance companies.

Perform other duties as required to support the revenue cycle and operations teams

● Accurately document claim statuses and next steps into AdvancedMD based on payer responses.

● Identify claims that require escalation, appeal, or additional information.

● Communicate with the internal team about issues such as claim rejections, pending documentation, or denials.

● Maintain a daily log of calls made, claims reviewed, and outcomes achieved.

● Collaborate with the Quality Auditor to support accurate and timely reporting of RCM performance.

● Contribute to the development of automated workflows by identifying patterns in payer behavior and data-entry standards.

● Adhere to payer-specific billing guidelines, HIPAA regulations, and internal documentation standards.

● Meet daily productivity and quality benchmarks defined by leadership.

● Provide feedback to leadership on payer trends, claim reprocessing needs, and training opportunities.

Qualifications

● Experience: 1+ year of experience in medical billing, claim follow-up, or RCM preferred.

Proficiency in Microsoft Excel, Word, and familiarity with remote work tools.t.

● Knowledge of AdvancedMD or similar billing software is highly desirable.

● Strong understanding of insurance claim lifecycles, including eligibility, submission, denial, and adjudication processes.

● Comfortable speaking with payer representatives and navigating complex IVR systems.

● Exceptional attention to detail and accuracy in documenting outcomes.

● Ability to multitask, prioritize assignments, and manage time effectively.

Competencies

● Communication: Clear and professional verbal and written communication skills.

● Customer Service: Courteous and solution-oriented when interacting with payers and team members.

● Problem Solving: Ability to think critically and take initiative in resolving billing issues.

● Teamwork: Works well independently and as part of a collaborative team.

● Accountability: Dependable, punctual, and takes responsibility for tasks and deadlines.

● Adaptability: Comfortable adjusting to evolving payer requirements and internal priorities.

● Quality Focus: High standards for data accuracy and documentation practices.

About Innobot Health

Innobot Health is a healthcare automation company focused on solving the toughest RCM challenges using cutting-edge technologies, including RPA. With a mission to reduce administrative burden and empower providers, we work closely with clients to ensure accurate, timely, and optimized revenue recovery. As we scale operations, we're looking for passionate professionals who are excited to be part of a high-impact, fast-growing team.

Job Type: Full-time

Benefits:

● 401(k)

● 401(k) matching

● Dental insurance

● Health insurance

● Paid time off

● Vision insurance

Schedule:

● 8 hour shift

● Day shift

● Monday to Friday

Skills Required
Microsoft Excel, Rpa