Collections Coordinator

USPI•Chattanooga, TN

About The Position

Chattanooga Pain Surgery Center is seeking a motivated Collections Specialist to join its Business Office team. The role focuses on follow-up for delinquent surgery center claims and collection efforts across managed care, Medicare, Medicaid, workers' compensation, and commercial plans. Most claims are submitted electronically. The specialist uses provided tools to calculate allowable amounts, determine whether reimbursement is appropriate, and appeal claims when necessary. The position involves regular contact with insurance carriers and communication with patients about out-of-pocket costs. The specialist identifies underpayments and overpayments and issues credit-balance information to insurers or patients. Work must follow center policies, procedures, guidelines, internal controls, and established goals. The role reports to the Business Office Manager and requires working an expected number of claims per day. The successful candidate will manage accounts productively and independently while collaborating with business office staff. The specialist must maintain a professional demeanor, protect confidential information about the center and its patients, physicians, administration, and employees, and provide courteous service while working in stressful situations that require patience and tact.

Requirements

High school diploma or equivalent.
Strong knowledge of claims reimbursement and collection efforts, including managed care, Medicare, Medicaid, workers' compensation, and commercial plans.
Knowledge of billing, collections, and claims reimbursement processing.
Ability to interpret managed care contracts and Medicare, Medicaid, and workers' compensation claims.
Strong attention to detail and ability to work independently.
Excellent communication, negotiation, and problem-solving skills.
Ability to work as a team player and communicate effectively with staff, patients, customers, and insurance carriers.
Professional demeanor and appearance, trustworthiness, and ability to maintain confidentiality.
Ability to work under stress and demonstrate patience and tact.

Nice To Haves

Associate's degree.
Experience in medical collections, revenue cycle, or billing.
Longevity in past roles, reflecting stability and commitment.

Responsibilities

Follow up on delinquent surgery center claims and work an expected number of claims per day.
Review claims involving managed care, Medicare, Medicaid, workers' compensation, and commercial plans.
Interpret managed care contracts and use tools to calculate allowable amounts and assess reimbursement.
Appeal claims when appropriate.
Contact insurance carriers and communicate with patients about out-of-pocket amounts.
Identify underpaid and overpaid accounts and issue credit-balance information to insurers or patients.
Manage assigned accounts independently and productively while coordinating with business office staff.
Follow policies, procedures, guidelines, internal control measures, and established goals.
Maintain confidentiality and provide professional, courteous service in stressful situations.