Collections Specialist

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

📋 Description

• Oversee designated accounts, ensuring prompt and precise billing, collection, and payment processes.

• Confirm that claims are properly filed post billing of accounts.

• Follow up with payers on any outstanding claims.

• Investigate reasons for claim denials.

• Collaborate with billers to resolve any billing discrepancies.

• Work with funding consultants to address questions regarding documentation.

• Draft communications, including appeals, to facilitate account payments and request alternative denial codes.

• Examine posted payments for accuracy and address any inconsistencies.

• Record both verbal and written communication related to collection efforts and anticipated outcomes for overdue accounts.

• Conduct follow-ups every 30 days with insurance companies, clients, SPLs, and vendors to confirm payment statuses.

• Notify the Manager of Collections about potential payment challenges.

• Suggest adjustments and write-offs to the Manager of Collections and secure approval prior to account reconciliation.

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

• Achieve productivity and cash targets set by management.

• Stay updated on state, federal, and third-party funding regulations to ensure compliant billing and payment practices.

• Carry out other assigned responsibilities.

⛳️ Requirements

• High School Diploma.

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

• Familiarity with the payment posting process, particularly regarding contractual adjustments and refunds, is preferred.

• Understanding of medical insurance claims procedures and documentation is preferred.

• Strong customer service and interpersonal abilities.

• Effective oral and written communication skills.

• Ability to work collaboratively in a team environment.

• Proficiency in Microsoft Office applications including Word, Excel, and Outlook.

• Capability to research claim information online.

• Basic data entry and word processing skills.

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

• Competence in gathering data and summarizing information effectively.

• Strong time management and organizational capabilities.

• Excellent problem-solving skills.

• Proficient in record management.

• Ability to sit at a desk for extended periods.

• Capacity to work amidst interruptions in a fast-paced environment.

• Candidates must reside within the Central or Eastern Time zones.

• Willingness to travel to the Pittsburgh office four times a year is required.

🏝️ Benefits

• Flexibility to prioritize what truly matters outside of work.

• Opportunities for career advancement within a vibrant, global organization.

• Collaborative workplace culture.

• Commitment to diversity, equality, and inclusion in the workplace.