Collections Associate
About The Position
The Collections Associate is responsible for supporting the timely collection and resolution of outstanding insurance balances to achieve organizational revenue cycle goals. This position performs account follow-up activities, front-end claim rejection resolution, supplemental payer claims billing, short-payment analysis, and review of Tier 4, Tier 5, and Tier 6 accounts. The Collections Associate plays a critical role in maintaining healthy accounts receivable, improving cash flow, reducing aging balances, and ensuring a positive financial experience for patients and payer partners. This position is initially office-based. Employees who consistently meet productivity, quality, attendance, and performance expectations may be considered for a remote work opportunity after 120 days.
Requirements
- High School Diploma or GED.
- Minimum one (1) year of healthcare revenue cycle, medical billing, collections, accounts receivable, or customer service experience.
- Working knowledge of healthcare reimbursement methodologies and payer processes.
- Excellent communication skills: listening, speaking, understanding, and writing English.
- Proficient typing and computer skills to accurately process orders and tickets.
- Strong organizational skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
- Proven knowledge and skill in utilizing the MS Office suite of software.
- Disciplined work ethic with the ability to work remotely with little direct supervision and meet production and quality targets.
Nice To Haves
- Previous remote work experience is a plus but not required.
Responsibilities
- Review and work Tier 4, Tier 5, and Tier 6 account inventories.
- Manage assigned accounts receivable inventory and perform timely follow-up on outstanding insurance balances.
- Contact insurance companies and other responsible parties to resolve unpaid, underpaid, or denied claims.
- Research and resolve claim rejections, account discrepancies, denials, underpayments, payment variances, and billing issues.
- Review payer contracts, remittance advice, EOBs, and claim histories.
- Submit appeals, reconsiderations, corrected claims, and supporting documentation as necessary to secure reimbursement.
- Perform front-end claim rejection review and resolution activities.
- Process supplemental payer billing and follow-up activities.
- Maintain complete and accurate documentation within the patient accounting system.
- Collaborate with Franchise, Intake, Authorization, Billing, Posting, and other internal teams.
- Ensure compliance with HIPAA, payer requirements, and company policies.
- Meet or exceed productivity, quality, collection, and aging reduction goals.
- Participate in process improvement initiatives.
- Perform other duties as assigned.
Benefits
- Comprehensive medical, dental, and vision plans
- Flexible spending accounts
- Health savings accounts
- Paid time off
- Personal days
- Company-paid holidays
- Paid Paternal Leave
- Volunteerism Days off
- Company-sponsored basic life insurance
- Long-term disability insurance
- Employee-paid voluntary life insurance
- Employee-paid accident insurance
- Employee-paid critical illness insurance
- Employee-paid short-term disability insurance
- 401(k) matching
- Tuition reimbursement
- Employee assistance programs (mental health, financial, and legal)
- Rewards programs offered by our medical carrier
- Professional development and growth opportunities
- Employee Referral Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
