Collector

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

📋 Description

• Follow up on pending claims and appeals.

• Manage escalation views.

• Review logs for Vendor Clarification.

• Provide training for employees and vendors.

• Serve as a knowledge resource for team members.

• Handle Claim Acknowledgment Rejections, Claim Edits, and Charge Corrections.

• Contact patients via phone for payments or payment arrangements.

• Print and re-file claims as necessary.

• Process correspondence on a daily basis.

• Maintain ongoing education, training, and career development in the industry.

• Meet or surpass productivity standards.

• Answer incoming calls from patients, insurance companies, and medical offices.

• Research 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 employment.

• Manage 40–50 accounts daily with a minimum accuracy rate of 90% while meeting departmental productivity standards.

• Calculate billing units and reimbursement amounts.

• Uphold confidentiality and adhere to company policies, procedures, ethical standards, and mandatory training.

• Report any suspected violations of corporate compliance, policy, harassment, or prohibited activities.

• Seek policy clarification and consult Compliance, Human Resources, or Legal resources as needed.

• Promote AMSURG’s 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.

• 2 to 3 years of collection experience is required.

• Knowledge of CPT, ICD-9, and ASA codes.

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

• Proficient in data gathering and reporting.

• Familiarity with medical terminology, insurance processing guidelines, and relevant laws.

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

• Knowledge of TWCC guidelines and laws, as well as commercial managed care insurance, Medicare, and Medicaid guidelines.

• Excellent interpersonal, verbal, and written communication skills.

• Ability to work independently with minimal supervision.

• Deep understanding of claim requirements and billing activities, including evaluation/correction of billing edits, claim transmission, rejections, and other claim functions.

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

• Capacity to maintain strict confidentiality and comply with company policies and procedures.

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

🏝️ Benefits

• Health and welfare benefit options.

• Paid Time Off (minimum of 20 days and up to 25 days per calendar year).

• 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 recognition, training, and professional growth.