Collector

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

📋 Description

• Follow up on pending claims and appeals.

• Manage escalation views.

• Review Vendor Clarification logs regularly.

• Deliver training to employees and vendors.

• Serve as a knowledge resource for fellow team members.

• Address Claim Ack Rejections, Claim Edits, and Charge Corrections.

• Contact patients for payment collection or to arrange payment plans.

• Print and re-file claims as necessary.

• Handle correspondence on a daily basis.

• Pursue continuing education and industry career development training.

• Surpass productivity benchmarks.

• Respond to incoming calls from patients, insurance providers, and physician offices.

• Investigate and audit patient accounts for additional payments or adjustments.

• Work on KAM reports as assigned.

• Achieve proficiency in the accounts receivable collector queue within 30–60 days of starting employment.

• Manage 40–50 accounts daily with a minimum accuracy of 90%.

• Calculate billing units and reimbursement figures.

• Maintain confidentiality and adhere to company policies and procedures.

• Complete mandatory training and report any suspected compliance violations.

• Uphold the company values of excellence, collaboration, ethical responsibility, and engagement.

⛳️ Requirements

• High School diploma or equivalent.

• 3 to 5 years of experience in a healthcare insurance receivables setting.

• Two to three years of collection experience is required.

• Familiarity with CPT, ICD-9, and ASA codes.

• Strong skills in mathematics, research, analysis, decision-making, and problem-solving.

• Excellent data gathering and reporting skills.

• Working knowledge of medical terminology, insurance processing guidelines, and applicable laws.

• Advanced understanding of commercial, Medicare, and Medicaid payers.

• Knowledge of TWCC guidelines and laws, alongside commercial managed care insurance, Medicare, and Medicaid regulations.

• Strong interpersonal, verbal, and written communication capabilities.

• Ability to operate independently with minimal supervision.

• Advanced comprehension of claim requirements and billing processes, including billing edits, claim transmission, rejections, and other claim functions.

• Proficiency in Microsoft Office Suite, including Word and Excel.

• Associate or bachelor’s degree in business administration or a related field is preferred.

• Two years of posting, coding, or accounts receivable collection experience in a healthcare organization is preferred.

🏝️ Benefits

• Paid Time Off.

• 9 observed holidays.

• Paid family leave.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Disability insurance.

• Healthcare FSA.

• Dependent Care FSA.

• Limited Healthcare FSA.

• Transportation and Parking FSAs.

• Health Savings Account (HSA).

• Matching 401(k) plan.

• Opportunities for training and professional growth.

• Recognition opportunities.