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