Collector, CBO

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

📋 Description

• Follow up on unresolved claims and appeals.

• Manage escalation views and review Vendor Clarification logs.

• Deliver training for employees and vendors.

• Serve as a knowledge resource for team members.

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

• Contact patients regarding payments or to set up payment arrangements.

• Print and re-file claims as necessary.

• Handle correspondence on a daily basis.

• Continue education and pursue industry-related career development training.

• Surpass productivity standards established by the business line.

• Respond to incoming calls from patients, insurance companies, 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 joining.

• Manage 40–50 accounts daily, maintaining at least 90% accuracy and meeting department productivity standards.

• Calculate billing units and reimbursement amounts.

• Uphold confidentiality and adhere to company policies and procedures.

• Report any suspected violations of the corporate compliance program and company policies.

• Seek policy clarification and utilize Compliance, Human Resources, or Legal resources when needed.

• Support 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 environment.

• Two to three years of collection experience required.

• Proficient understanding of CPT, ICD-9, and ASA codes.

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

• Excellent data gathering and reporting capabilities.

• Familiar with medical terminology, insurance processing guidelines, and legal regulations.

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

• Understanding of TWCC guidelines and laws, as well as commercial managed care insurance.

• Strong interpersonal, verbal, and written communication skills.

• Ability to work independently with minimal supervision.

• In-depth understanding of claim requirements and billing processes, including billing-edit evaluation/correction, claim transmission, and rejections.

• Proficient in Microsoft Office Suite and PC applications, including Word and Excel.

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

• Two years of experience in posting, coding, or accounts receivable collection 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.

• FSAs for Transportation and Parking.

• HSA.

• Matching 401(K) Plan.

• Recognition, training, and opportunities for professional growth.