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 guarantee prompt resolution and reimbursement.

• Reach out to insurance companies through phone, portals, or email to verify claim status, request reprocessing, or escalate issues.

• Examine denials and underpayments to determine suitable actions, including appeals, corrections, and resubmissions.

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

• Analyze explanations of benefits (EOBs) and remittance advice to identify reasons for denial or reduced payments.

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

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

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

• Keep current knowledge of payer policies, coding changes, and reimbursement guidelines.

• Ensure adherence to HIPAA and applicable federal/state billing regulations.

• Identify trends or recurring issues for team leads or supervisors.

• Achieve daily/weekly productivity targets, including claims processed and follow-ups completed.

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

• Utilize analytical and organizational skills to resolve complex payer issues, prioritize daily tasks, recognize trends/issues, 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 desirable.

• 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.

• Experience with PowerBI and Copilot is desirable.

• Excellent verbal and written communication abilities.

• Capability to work independently and manage time efficiently.

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

• Understanding and effective use of technology and resources provided for working with assigned payers and denial work queues.

• Compliance with HIPAA and all 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.