Collections Specialist, Patient and Insurance

Overview

A healthcare organization is seeking a Collections Specialist to manage administrative tasks related to the collection of outstanding account receivables from insurance companies and patients. This role involves resolving billing issues, analyzing accounts, and reducing delinquency in accounts receivable.

Responsibilities

• Provide customer service related to collection inquiries.
• Resolve insurance discrepancies and short payments.
• Utilize payor portals, automated clearing houses, explanation of benefits (EOBs), and other tools to complete accounts receivable tasks.
• Document problems, actions taken, and follow-up communications with insurance companies until claims are fully adjudicated.
• Monitor and maintain assigned accounts.
• Work to reduce delinquency for assigned accounts.
• Initiate and resolve appeals with various insurance payers as assigned.
• Perform additional duties as assigned.

Requirements

• High school diploma or GED required; college degree preferred.
• Three to five years of experience in high-volume collections.
• Knowledge or experience with accounts receivable preferred.

Compensation & Benefits

• Comprehensive benefits package.
• Competitive compensation.

Location

• This is a full-time, 100% remote position.