Collections Specialist

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

📋 Description

• Investigate unpaid claims, ascertain the root causes of denials, and take necessary follow-up actions to ensure prompt claim processing.

• Recognize and initiate appropriate procedures for billing secondary or tertiary insurance providers.

• Stay updated on all relevant regulations and requirements from third-party payers.

• Relay payer trends and patterns to management for further analysis.

• Record all actions related to account resolution within the patient's medical record.

• Analyze, understand, and implement payer logic as outlined in negotiated contracts.

• Organize tasks to minimize or eliminate bad debt flow, thereby reducing days in accounts receivable (AR).

• Achieve and uphold productivity and auditing standards.

• Perform additional responsibilities as assigned by management.

⛳️ Requirements

• High School Diploma or an equivalent qualification.

• 2-3 years of experience in medical collections is preferred.

• Results-driven and excels in a fast-paced, high-energy setting.

• Ability to cultivate and maintain effective communication and positive working relationships with payers, colleagues, and leadership.

• Excellent written and verbal communication abilities.

• Familiarity with medical terminology, CPT, and HCPCs.

• Skilled in analyzing claims to ensure reimbursement aligns with contractual agreements.

• Competent in organizing tasks and adapting to changes.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Health Savings Account with employer contributions.

• Life Insurance coverage.

• Paid Time Off (PTO).

• 401(k) retirement plan with company matching.

• Additional perks and benefits!