Jobs · Accounting · Colorado

Regional Collection Specialist

PDS Health · Golden, CO · 6 days ago
Accounting$69k–$88k/yrFull-time

Responsibilities

  • Manage and resolve Epic work queues to improve claim processing efficiency and accelerate reimbursement.
  • Analyze Explanation of Benefits (EOBs) and take appropriate action, including claim follow-up with payers and confirmation of patient financial responsibility.
  • Maintain accurate and timely account documentation to ensure alignment and communication between offices and the ROC.
  • Deliver structured coaching and training to Operations Managers (OMs) and Healthcare Coordinators (HCs) via 1:1 sessions and group forums.
  • Conduct monthly regional reviews with OMs and focus offices to assess collection drivers, workflows, and claim follow-up practices.
  • Present insights and updates during OM/DM meetings and Regional MOFRs, as requested.
  • Provide monthly trend analysis and actionable recommendations to Regional Leadership to drive performance improvement and profitability.
  • Utilize reporting tools and operational data to identify gaps and prioritize high-impact improvement opportunities.
  • Participate in ROC-led and cross-functional meetings to ensure alignment on priorities and initiatives.
  • Partner with Revenue Analysts to evaluate trends, address operational gaps, and maximize collectible revenue across assigned regions.
  • Ensures compliance with all policies and standards, as well as state, federal and other regulatory bodies.

Qualifications

  • H.S. Diploma or General Education Degree (GED)
  • 3+ years of related experience.
  • Preferred Bachelor’s Degree in Arts/Sciences (BA/BS) in related field from an accredited college or university.
  • 3+ years of related experience in the dental field.
  • Prior experience as a claims auditor within a group practice environment.
  • EPIC experience.
  • Knowledge/Skills/Abilities:
    • Self-motivated, dependable, and customer-focused, with the ability to work independently and collaboratively.
    • Strong organizational skills with the ability to perform in a fast-paced environment.
    • Effective communicator with the ability to influence stakeholders across all levels.
    • Demonstrates analytical thinking, sound judgment, and problem-solving capability.
    • Proven ability to identify skill gaps and deliver impactful training and coaching.
    • Proficiency in Microsoft Office (Word, Excel) and data entry systems.
    • Ability to interpret EOBs, operational documentation, and regulatory requirements.
    • Strong numerical proficiency, including percentages, ratios, and trend analysis.
    • Ability to prioritize, multitask, and manage competing priorities with limited direction.
    • Detail-oriented, process-driven, and results-focused, with a continuous improvement mindset.
    • Adheres to all safety protocols, including proper PPE usage, in environments involving potential hazards.
    • Maintain an appropriate professional appearance and demeanor in accordance with Company policy.

Benefits

  • Medical, dental, and vision insurance
  • Paid time off
  • Tuition Reimbursement
  • 401K
  • Paid time to volunteer in your local community

Compensation

  • $68,640.00 - $88,000.00 / Annually

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