Revenue Cycle Associate – Collections

This is a fully remote position, open to applicants in California, +9 more states.

📋 Description

• Execute hospital revenue cycle tasks related to insurance accounts receivable, denial management, appeals, self-pay collections, correspondence processing, and various other assigned revenue cycle responsibilities.

• Investigate and resolve reimbursement challenges while ensuring adherence to payer guidelines and organizational policies.

• Conduct collection activities to guarantee the appropriate resolution and reimbursement of claims.

• Analyze denials and draft appeals when necessary.

• Address claim processing complications with third-party payers and provide the required information promptly.

• Collaborate with patients to ensure swift resolution and maximize reimbursement.

• Comprehend payer guidelines for resolving unpaid claims and assist patients in understanding their responsibilities.

• Monitor and identify reimbursement patterns, recurring denials, or workflow issues, escalating concerns to leadership as needed.

• Achieve department productivity and quality minimum standards.

• Resubmit accurate and clean claims to insurance companies promptly and in compliance.

• Process correspondence from payers and patients, including requests for additional information, reconsiderations, and other revenue cycle communications.

• Report directly to the RCM Manager.

⛳️ Requirements

• Must be a resident of Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, or Wyoming.

• High school diploma or equivalent is required.

• At least one year of experience in hospital revenue cycle, patient financial services, or insurance accounts receivable.

• Proficient understanding of Commercial, Medicare, Medicaid, and managed care billing and reimbursement processes.

• Familiarity with hospital revenue cycle workflows, reimbursement methodologies, and payer regulations.

• Highly detail-oriented and organized with strong critical thinking and problem-solving abilities.

• Capability to establish and maintain effective working relationships and communicate effectively with customers, patients, and insurance providers.

• Excellent customer service skills to handle challenging calls while remaining professional.

• Knowledgeable and skilled in using payer websites and other relevant resources.

• Ability to work autonomously within a remote setting without distractions.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional growth and advancement.

• Supportive work environment with a collaborative team.

• Comprehensive healthcare coverage.

• Retirement savings plan.

• Paid time off and flexible scheduling options.

• Student loan repayment program.