Collections Specialist - Remote

Duties And 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.
• Keeps informed on all current applicable third-party payer regulations and requirements.
• Communicates payer trends and patterns to management.
• Document within a patient’s record all actions taken related 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.
• Maintain productivity and audit standards.
• Other duties as assigned by management.

Qualifications

• High School Diploma or equivalent.
• Experience in medical collections preferred (2-3 years).
• No specific licenses or certifications required.
• Results-oriented and able to thrive in a fast-paced, high-energy environment.
• Good communication skills, including both written and verbal, and knowledge of medical terminology, CPT, and HCPCS.
• Proficient in analyzing claims to ensure reimbursement aligns with contractual obligations.
• Able to organize work and manage change.

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!