COLLECTIONS SPECIALIST II

About Us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey.

About the Role

Under the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for Accounts Receivable tasks related to Cooper University Professional provider revenue cycle and collections. Duties will be performed in a fast-paced central billing office environment. The PB Collections Specialist will be flexible and responsive to changing priorities. The candidate will act as the customer experience agent between third-party payors, Cooper University Health Care patients, and internal departments. The incumbent will be responsible for high volume and timely invoice/account resolution.

Responsibilities

• Review and translate Explanations of Benefits as well as payor contract/benefit plan language.
• Maintain a collaborative relationship with all levels of staff, internal and external customers.
• Maintain all PHI/PII in accordance with Federal, State, and CUHC policies and procedures.
• Perform appeals processing, denial or rejection analysis and resolution, and apply medical billing guidelines as it relates to the job function.

Requirements

• 2–3 years of Accounts Receivable resolution experience preferred, with a strong focus on customer experience.
• Familiarity with third-party billing processes including CPT/HCPCS and ICD-10 knowledge is desired.
• Knowledge of medical terminology, medical record review, and reimbursement analysis is preferred.
• High School Diploma or Equivalent required; some college preferred.
• Epic experience is a plus.