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Collections Specialist
1 month ago
Location: Near Nashville, TN (Onsite training for 3-4 weeks, then fully remote)
Pay: $20-$22/hr
Job Description: We are seeking a Collections Specialist to join our team.
Responsibilities include:
- Providing cash/financial posting and collections services for multiple facilities.
- Collaborating with the CBO team and facilities to improve billing, revenue, collections, and cash posting.
- Working on outstanding receivables using A/R reports and collections module, documenting account activity.
- Meeting productivity and cash collection goals as set by A/R leadership.
- Verifying account balances, ensuring accuracy of payment and adjustment postings.
- Handling insurance follow-up and reimbursement for all payors (Medicare, Managed Medicare, Medicaid, Managed Medicaid, and Commercial) via phone/web portal.
- Processing insurance and patient refunds as necessary.
- Reviewing and interpreting Explanation of Benefits (EOBs) and contracts for proper reimbursement.
- Researching and resolving zero pays, underpayments, and denials, taking appropriate action.
- Understanding medical terminology, ICD9/ICD10, and working with Inpatient, Physician, and Outpatient claims.
- GED/HS Diploma
- 1-2 years of previous collections experience
- Familiarity with all payers (Commercial, Medicare, Managed Medicare, Medicaid, and Managed Medicaid)
- Knowledge of HMS/MedHost
- Waystar experience
- Experience billing both inpatient and outpatient claims
- Monday-Friday, 7am - 3:30pm or 8am-4:30pm with a 30-minute lunch (1-hour lunch optional)
- Fully remote after the training period