Collection Coordinator

The Pennant Group • Nashville, TN

6d

About The Position

The Collections Coordinator performs collections functions after claims have been submitted and processed. The role proactively follows up with payers, manages denials and appeals, and reconciles accounts to maintain healthy accounts receivable. It also manages patient self-pay collections and documents account activity in the EMR system. The coordinator reports common denial codes and collection obstacles to the Billing Lead or Director of RCM to help address upstream process issues.

Requirements

• At least 1 year of experience in medical collections, accounts receivable follow-up, or denial appeals.
• Working knowledge of reading and interpreting EOBs, RAs, and payer correspondence.
• Ability to submit claims and track payment status through payer portals and a dedicated EMR system.
• Familiarity with the Medicare appeals process, such as Redetermination.
• Exceptional attention to detail and analytical skills for denial research.
• Strong organizational skills and ability to manage a large backlog of accounts.
• Excellent verbal and written communication skills for persistent, professional payer interactions.
• Motivation, persistence, and a results-oriented approach to meeting collection goals.
• Commitment to compliance and ethical collection practices.

Nice To Haves

• Experience in Home Health or Hospice.

Responsibilities

• Follow up on outstanding accounts with Medicare, Medicaid, and commercial carriers based on accounts receivable aging reports.
• Research payment denials, determine their causes, and take steps to resolve, correct, resubmit, or appeal claims.
• Prepare and submit formal appeals for denied claims, gathering required clinical and administrative documentation.
• Reconcile posted payments with expected reimbursement and identify discrepancies and contractual short-pays requiring follow-up.
• Manage patient self-pay collections, including generating and mailing statements and communicating professionally and compliantly about payment plans.
• Clearly and accurately document collection activities, payer communications, and account status updates in the EMR system.
• Report common denial codes and collection roadblocks to the Billing Lead or Director of RCM.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed