Medicare Collections Specialist

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

📋 Description

• Assists in the efficient management of the revenue cycle process

• Guarantees the precise and timely collection of sales from third-party payers

• Collaborates with insurance providers, clients, and customers to resolve collection challenges

• Reconciles accounts as necessary

• Manages assigned accounts to ensure accurate and prompt billing, collections, and payment activities

• Confirms that a claim is properly filed

• Follows up with payers regarding outstanding payments

• Investigates claim denials

• Coordinates with billers to resolve billing discrepancies

• Works with funding consultants to clarify documentation issues

• Prepares correspondence to contest account payments

• Reviews posted payments for correctness and probes discrepancies

• Records all verbal and written communications related to collection efforts in the system

• Conducts follow-ups every 30 days with insurance companies, clients, SPLs, and vendors to ensure timely payments

• Notifies the Manager of Collections about potential payment concerns

• Suggests adjustments/write-offs to the Manager of Collections

• Investigates refund requests related to accounts

• Keeps updated on state, federal, and third-party funding regulations for assigned accounts

⛳️ Requirements

• High School Diploma

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

• Familiarity with the payment posting process concerning contractual adjustments and refunds preferred

• Understanding of medical insurance claims procedures and documentation preferred

• Strong customer service and interpersonal abilities

• Effective verbal and written communication skills

• Team collaboration skills

• Proficient in Microsoft Office, 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

• Skill in gathering data and summarizing information

• Good time management and organizational skills

• Excellent problem-solving abilities

• Record management expertise

🏝️ Benefits

• Flexible work arrangements

• Opportunities for professional development