Senior Revenue Cycle Associate – Collections

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

📋 Description

• Act as a subject matter expert for designated revenue cycle functions.

• Investigate and resolve intricate accounts and payer challenges.

• Provide daily functional guidance and technical support to the team.

• Aid in onboarding, cross-training, and mentoring fellow team members.

• Conduct quality assurance reviews and deliver constructive feedback.

• Engage in collection activities to resolve claims and enhance reimbursement.

• Investigate denials and compose appeals.

• Address claim processing concerns with third-party payers and collaborate with patients for timely resolutions.

• Clarify payer guidelines and patient responsibilities.

• Monitor reimbursement patterns, recurring denials, and workflow challenges, escalating concerns as necessary.

• Achieve departmental productivity and quality benchmarks.

• Re-submit accurate and clean claims to insurance providers.

• Handle payer and patient communications, including requests for additional information and reconsiderations.

• Ensure accurate, complete, and timely account documentation within the patient accounting system.

• Uphold confidentiality while adhering to HIPAA regulations and organizational policies.

⛳️ Requirements

• Must reside in Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, or Wyoming.

• Proven expertise in insurance collections, denial management, reimbursement methodologies, and appeals processes.

• Capacity to analyze complex reimbursement challenges and suggest solutions.

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

• Ability to build and maintain effective working relationships and communicate with customers, patients, and insurance companies.

• Excellent customer service skills to handle challenging calls while maintaining professionalism.

• Proficient knowledge of payer websites and other relevant resources.

• Ability to work independently in a remote environment with minimal distractions.

• High school diploma or equivalent is required.

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

• Extensive knowledge of payer regulations, reimbursement guidelines, and best practices in the revenue cycle.

• Maintain strict confidentiality and comply with all HIPAA guidelines and regulations.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional growth and advancement.

• Supportive work culture with a collaborative team.

• Comprehensive healthcare coverage.

• Retirement savings plan.

• Paid time off and flexible scheduling options.

• Student loan repayment program.