Collections Specialist

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

📋 Description

• Ensure precise, compliant, and prompt follow-up on claims submitted to third-party carriers or intermediaries.

• Respond to inquiries swiftly in accordance with hospital policies.

• Maintain diligent follow-up of claims while adhering to contractually binding conditions.

• Analyze denials and payment discrepancies found on EOB, RA, or payer correspondence.

• Identify denial patterns, provide documentation and data, and recommend process enhancements.

• Review system work-list and report daily to resolve accounts that remain unpaid for over 30 days post-claim submission.

• Accurately and timely document activities on patient accounts.

• Uphold follow-up procedures and foster working relationships with HIM and/or Patient Access.

• Verify newly obtained status information and update patient accounts accordingly.

• Report any suspicious activities to the designated person.

• Collaborate with the department on process improvements to enhance efficiencies and meet overall objectives.

⛳️ Requirements

• High School Diploma or GED is required.

• Preferred: 2 years of experience in Patient Accounting, particularly in billing, collections, customer service, or cash application.

• Preferred: 1 year of working knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology, along with demonstrated knowledge of Revenue Cycle procedures.

• Adherence to all state and federal billing regulations is mandatory.

• Travel requirement: Never or Rarely.

🏝️ Benefits

• Eligible for benefits.

• Opportunities for growth.

• Comprehensive benefits offerings for qualified employees.

• Opportunity to work from home.