Coordinator, Collections

Cardinal Health

22h•$16 - $26

About The Position

We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growth—while maintaining their independence. What Revenue Cycle Management (RCM) contributes to Cardinal Health Revenue Cycle Management focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero. Practice Operations Management oversees the business and administrative operations of a medical practice. The Collections team is responsible for the collection of outstanding accounts receivable. This includes dispute research, developing payment plans with customers, and building relationships of trust with customers and internal business partners. The Coordinator, Collections, is responsible for the timely follow-up and resolution of insurance claims. This role ensures accurate and efficient collection of outstanding balances from insurance payers, working to reduce aging accounts receivable and increase cash flow for the organization.

Requirements

1-3 years of experience, preferred
High School Diploma, GED or equivalent work experience, preferred
Strong knowledge of insurance claim processing and denial management preferred.
Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred.
Proficiency in billing software (e.g. Athena, G4 Centricity, etc.) and Microsoft Office Suite.
Excellent verbal and written communication skills.
Ability to work independently and manage time effectively.
Detail-oriented with strong analytical and problem-solving skills
Applies acquired job skills and company policies and procedures to complete standard tasks
Works on routine assignments that require basic problem resolution
Refers to policies and past practices for guidance
Receives general direction on standard work; receives detailed instruction on new assignments
Consults with supervisor or senior peers on complex and unusual problems

Responsibilities

Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues.
Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions).
Track and follow up on all submitted appeals until resolution.
Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment.
Document all collection activities in the billing system according to departmental procedures.
Follow up on unpaid claims within payer-specific guidelines and timelines.
Coordinate with other billing team members, coders, and providers to resolve claim discrepancies.
Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines.
Ensure compliance with HIPAA and all relevant federal/state billing regulations.
Flag trends or recurring issues for team leads or supervisors.
Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed).
Assist with special projects, audits, or other duties as assigned.

Benefits

Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs