Coordinator, Collections

Key Responsibilities

• Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
• Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues.
• Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions).
• Track and follow up on all submitted appeals until resolution.
• Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment.
• Document all collection activities in the billing system according to departmental procedures.
• Follow up on unpaid claims within payer-specific guidelines and timelines.
• Cookordinate with other billing team members, coders, and providers to resolve claim discrepancies.
• Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines.
• Ensure compliance with HIPAA and all relevant federal/state billing regulations.
• Flag trends or recurring issues for team leads or supervisors.
• Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed).
• Assist with special projects, audits, or other duties as assigned.

Skills

• Strong knowledge of insurance claim processing and denial management preferred.
• Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred.
• Proficiency in billing software (e.g. Athena, G4 Centricity, etc.) and Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Ability to work independently and manage time effectively.
• Detail-oriented with strong analytical and problem-solving skills

Benefits

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs