Collections Coordinator – Accounts Receivable Specialist

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

📋 Description

• Review aging reports and manage insurance accounts to ensure prompt resolution and reimbursement.

• Communicate with insurance companies via phone, online portals, or email to verify claim status, request reprocessing, or escalate issues as needed.

• Assess denials and underpayments to determine the appropriate course of action, including appeals, corrections, and resubmissions.

• Monitor and follow up on all submitted appeals until a resolution is reached.

• Evaluate explanations of benefits (EOBs) and remittance advices to identify reasons for denials or reduced payments.

• Record collection activities in the practice management/billing system in accordance with departmental procedures.

• Follow up on unpaid claims while adhering to payer-specific guidelines and timelines.

• Collaborate with billing team members, coders, and providers to address claim discrepancies.

• Stay informed about payer policies, coding updates, and reimbursement guidelines.

• Ensure compliance with HIPAA and relevant federal/state billing regulations.

• Identify trends or recurring issues to report to team leads or supervisors.

• Achieve daily and weekly productivity targets.

• Assist with special projects, audits, or other assigned responsibilities.

• Utilize technology and resources to manage assigned payers and denial work queues effectively.

• Employ analytical and organizational skills to resolve complex payer issues, prioritize daily tasks, identify trends, and enhance cash flow.

⛳️ Requirements

• 1-3 years of relevant experience is preferred.

• High School Diploma, GED, or equivalent work experience is preferred.

• Strong understanding of medical insurance claim processing and denial management is preferred.

• Experience in Medical Oncology/infusion is desired.

• Familiarity with Medicare, Medicaid, IPAs, commercial insurance plans, and managed care is preferred.

• Proficiency in billing software (e.g., Athena, G4 Centricity, Unlimited Financials, etc.) and Microsoft Office Suite, as well as experience with PowerBI and Copilot is desired.

• Exceptional verbal and written communication skills.

• Ability to work independently and manage time effectively.

• Detail-oriented with strong analytical and problem-solving abilities.

• Knowledge of HIPAA and relevant federal/state billing regulations.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off plan.

• Health savings account (HSA).

• 401k savings plan.

• Access to wages before payday with myFlexPay.

• Flexible spending accounts (FSAs).

• Short- and long-term disability coverage.

• Work-Life resources.

• Paid parental leave.

• Healthy lifestyle programs.