Coordinator, Collections, Coordinator, Collections Accounts Receivable Specialist

Cardinal Health

1d•$16 - $26

About The Position

Navista is an oncology practice alliance comprised of more than 40 sites that supports community oncology practices while helping them maintain their independence. Revenue Cycle Management covers the clinical and administrative processes used to capture, bill, and collect revenue for patient services. The Collections team pursues outstanding medical oncology and infusion insurance accounts receivable. The Coordinator, Collections is responsible for timely follow-up and resolution of assigned payer oncology medical insurance claims. The role seeks accurate and efficient collection of outstanding insurance balances, reduction of aging accounts receivable, and increased organizational cash flow. Productivity and quality assurance are monitored weekly, and team members are accountable for the quality of their work.

Requirements

Excellent verbal and written communication skills.
Ability to work independently and manage time effectively.
Detail-oriented, with strong analytical and problem-solving skills.

Nice To Haves

1–3 years of experience.
High school diploma, GED, or equivalent work experience.
Strong knowledge of medical insurance claim processing and denial management.
Medical oncology or infusion experience.
Familiarity with Medicare, Medicaid, IPAs, commercial insurance plans, and managed care.
Proficiency in billing software such as Athena, G4 Centricity, or Unlimited Financials, and Microsoft Office Suite.
Experience with PowerBI and Copilot.

Responsibilities

Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
Contact insurance companies by phone, portals, or email to check claim status, request reprocessing, or escalate issues.
Analyze denials and underpayments and determine appropriate actions, including appeals, corrections, and resubmissions.
Track and follow up on submitted appeals until resolution.
Analyze explanations of benefits (EOBs) and remittance advice to determine reasons for denials or reduced payments.
Document collection activities in the practice management or billing system according to departmental procedures.
Follow up on unpaid claims within payer-specific guidelines and timelines.
Coordinate with 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 relevant federal and state billing regulations.
Flag trends or recurring issues for team leads or supervisors.
Meet daily and weekly productivity goals, such as the number of claims worked and follow-ups completed.
Assist with special projects, audits, or other assigned duties.
Understand and use provided technology and resources to work assigned payers and denial work queues.