AR Collections Specialist

Sevita; Minneapolis (MN); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Full compensation/benefits package

401(k) with company match

Paid time off and holiday pay

Job summary

Sevita is seeking an Accounts Receivable Collections Specialist to support timely billing and accurate payer communications. You will manage denials, credits, and refunds while ensuring compliance and strong internal controls.

The role emphasizes high-volume medical collections knowledge, attention to detail, and the ability to multi-task in a remote setting with nationwide potential.

Qualifications

• High school diploma or equivalent; Associate or Bachelor’s degree in a finance-related field preferred.
• 2-3 years of experience with Medical Collections in a high-volume environment preferred.
• Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms.
• Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types.
• Self-motivated, detail-oriented, and highly organized with the ability to multi-task.
• Excellent communication skills, analytical skills, and the ability to collect information from multiple sources.
• Proficient with Microsoft Office

Responsibilities

• Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
• Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
• Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
• Update collection procedures as necessary
• Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
• Follow-up with Field on updates to items assigned to them that are past follow-up date
• Update DWF with clear concise notes as claims are worked
• Review unapplied cash log for any items that can be applied and work with cash team to resolve
• Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
• Ensure internal control compliance with all assigned areas and other audit requirements
• Maintain an effective control environment for the accounting operations

Skills

Medical collections experience

ICD-10 knowledge

CPT codes knowledge

UB-04 knowledge

HCFA-1500 forms knowledge

Medicare/Medicaid knowledge

Attention to detail

Multi-tasking

Communication skills

Education

High school diploma or equivalent

Associate or Bachelor’s in finance-related field preferred

Tools

Microsoft Office

Job description

Accounts Receivable Collections Specialist

Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.

• Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
• Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
• Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
• Update collection procedures as necessary
• Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
• Follow-up with Field on updates to items assigned to them that are past follow-up date
• Update DWF with clear concise notes as claims are worked
• Review unapplied cash log for any items that can be applied and work with cash team to resolve
• Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
• Ensure internal control compliance with all assigned areas and other audit requirements
• Maintain an effective control environment for the accounting operations

Qualifications

• High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred
• 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
• Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
• Self-motivated, detail-oriented, and highly organized with the ability to multi-task
• Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
• Effectively use Microsoft Office

Why Join Us?

• Full compensation/benefits package for full-time employees.
• 401(k) with company match
• Paid time off and holiday pay
• Complex work adding value to the organization’s mission alongside a great team of coworkers
• Enjoy job security with nationwide career development and advancement opportunities

We have meaningful work for you – come join our team –

The regular working hours for this position can be performed remotely; however, due to current business and employment requirements, we are unable to employ individuals in this role who will be working from Alaska, Hawaii, New York, Oregon, South Dakota, Vermont, Washington State, or Washington, D.C. Although the role is primarily remote, occasional in-person and related travel is an essential function of this position.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law