Collections Associate
About The Position
The Collections Associate supports the timely collection and resolution of outstanding insurance balances to help achieve organizational revenue cycle goals. The role includes account follow-up, front-end claim rejection resolution, supplemental payer claims billing, short-payment analysis, and review of Tier 4, Tier 5, and Tier 6 accounts. The position helps maintain healthy accounts receivable, improve cash flow, reduce aging balances, and support positive financial experiences for patients and payer partners. The position is initially office-based. After 120 days, employees who consistently meet productivity, quality, attendance, and performance expectations may be considered for remote work, subject to business needs. Vital Care is a pharmacy franchise business serving patients with chronic and acute conditions through locally owned infusion pharmacies and clinics. The company has more than 100 franchised locations across 35 states and supports owners in launching and operating their businesses.
Requirements
- High school diploma or GED.
- At least one year of experience in healthcare revenue cycle, medical billing, collections, accounts receivable, or customer service.
- Working knowledge of healthcare reimbursement methodologies and payer processes.
- Excellent English listening, speaking, comprehension, and writing skills.
- Proficient typing and computer skills to accurately process orders and tickets.
- Strong organizational skills and ability to maintain clear, complete records of activities, cases, and related documentation.
- Proficiency with the MS Office suite.
- Disciplined work ethic and ability to work remotely with little direct supervision and meet production and quality targets.
Nice To Haves
- Previous remote work experience.
Responsibilities
- Review and work Tier 4, Tier 5, and Tier 6 account inventories.
- Manage assigned accounts receivable inventory and follow up promptly 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 to identify reimbursement opportunities.
- Submit appeals, reconsiderations, corrected claims, and supporting documentation as needed 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 in 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, plus flexible spending and health savings accounts.
- Paid time off, personal days, and company-paid holidays.
- Paid paternal leave.
- Volunteerism days off.
- Company-sponsored basic life insurance and long-term disability insurance.
- Employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
- 401(k) matching.
- Tuition reimbursement.
- Employee assistance programs for mental health, financial, and legal support.
- Rewards programs offered by the medical carrier.
- Professional development and growth opportunities.
- Employee Referral Program.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
