Collections Specialist - Remote

This role involves managing unpaid claims, ensuring proper billing, and maintaining compliance with payer regulations. It is suitable for individuals with experience in medical collections and strong communication skills.

Location: Remote

Responsibilities

• Research unpaid claims, determine denial root cause, and perform appropriate follow up actions to ensure timely claim adjudication.
• Identify and take appropriate action for the billing of secondary or tertiary insurances.
• Keep informed on all current applicable third-party payer regulations and requirements.
• Communicate payer trends and patterns to management.
• Document within a patient’s record all actions taken related to account resolution.
• Review, comprehend and execute payer logic within negotiated contracts.
• Prioritize workflow to reduce or eliminate bad debt flow resulting in a reduction in days in AR.
• Meet and maintain productivity and audit standards.
• Other duties as assigned by management.

Requirements

• High School Diploma or equivalent.
• 2-3 years of medical collections experience preferred.

Benefits

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Additional Information

• Normal busy office environment with much telephone work.
• Possible long hours as needed.
• Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.