Collection Specialist

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Oversee designated accounts, ensuring timely and precise billing, collections, and payment processes.

• Confirm that a claim is properly filed.

• Follow up with payers regarding overdue payments.

• Investigate any claim denials.

• Collaborate with billers to resolve billing discrepancies.

• Work alongside funding consultants to clarify documentation inquiries.

• Prepare correspondence, including appeals, to advocate for account payments.

• Review posted payments for accuracy and investigate any discrepancies.

• Document all verbal and written communications related to collection efforts and anticipated outcomes for overdue accounts in the system.

• Follow up every 30 days with insurance companies, clients, SPLs, and vendors to facilitate account payments.

• Notify the Manager of Collections about potential payment challenges.

• Suggest adjustments or write-offs to the Manager of Collections and obtain approval before reconciling accounts.

• Investigate refund requests for accounts and complete the necessary paperwork for refunds.

• Meet productivity and cash target expectations as established by management.

• Stay informed about state, federal, and third-party funding regulations concerning assigned accounts, ensuring compliance with billing and payment practices.

• Carry out various additional tasks as assigned.

⛳️ Requirements

• High School Diploma.

• At least 2 years of experience in computer operations, accounting, collections, and high-volume medical billing and/or insurance claims processing.

• Preferred knowledge of payment posting processes related to contractual adjustments and refunds.

• Preferred familiarity with medical insurance claims procedures and documentation.

• Strong customer service and interpersonal abilities.

• Effective oral and written communication skills.

• Ability to work well in a team environment.

• Proficient in M.S. Office applications including Word, Excel, and Outlook.

• Capable of researching claim information online.

• Basic skills in data entry and word processing.

• Ability to apply independent judgment and handle confidential information responsibly.

• Skilled in data gathering and summarization.

• Strong time management and organizational skills.

• Excellent problem-solving capabilities.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for professional development.