Collections Specialist - Remote

About the Role

Day-to-day, you will analyze unpaid claims, identify root causes of denials, and develop effective follow-up strategies to ensure timely resolution. You will also collaborate with the billing team to ensure accurate and compliant billing practices, staying up-to-date on regulatory changes and industry trends.

What You Will Do

• Research and analyze unpaid claims to determine root cause of denials
• Develop and implement effective follow-up strategies to ensure timely claim adjudication
• Communicate with payers to resolve outstanding claims and negotiate payment terms
• Collaborate with the billing team to ensure accurate and compliant billing practices
• Stay up-to-date on regulatory changes and industry trends, applying knowledge to drive results
• Document all interactions and activities within patient records, ensuring timely and accurate updates
• Review and execute payer logic within negotiated contracts, optimizing revenue and minimizing bad debt
• Prioritize workflow to reduce or eliminate bad debt, meeting productivity and audit standards
• Identify and communicate payer trends and patterns to management, driving process improvements
• Meet and maintain productivity and audit standards, contributing to team goals and objectives

What We Are Looking For

• High School Diploma or equivalent required
• 2-3 years of medical collections experience preferred
• Strong written and verbal communication skills, with ability to develop and maintain positive relationships with payers and internal stakeholders
• Knowledge of medical terminology, CPT, and HCPCs, with ability to apply in a fast-paced environment
• Proficient in analyzing claims to ensure reimbursement aligns with contractual obligations
• Ability to organize work and manage change, with a focus on agility and adaptability
• Results-oriented mindset, with a focus on delivering high-quality results in a timely manner

Nice to Have

• Experience with electronic health records (EHRs) and practice management systems
• Certification in medical billing and coding (e.g., CPC, CMC)
• Familiarity with regulatory requirements and industry standards (e.g., HIPAA, OIG)

Benefits and Perks

• Comprehensive health, dental, and vision insurance
• Health Savings Account with employer contribution
• Life Insurance
• PTO and paid holidays
• 401(k) retirement plan with company match
• Remote work arrangement with flexible scheduling
• Opportunities for professional growth and development
• Access to cutting-edge technology and tools

• Develop a strong understanding of medical terminology and billing practices to stand out in the application process
• Highlight your ability to work independently and manage change in a fast-paced environment
• Showcase your analytical skills by providing examples of complex claims you've resolved in previous roles
• Be prepared to discuss your experience with regulatory requirements and industry standards
• Consider obtaining certification in medical billing and coding to demonstrate your expertise
• Research the company culture and values to ensure alignment with your own goals and motivations