AR Collections Specialist _2943

The MENTOR Network; Philadelphia (Philadelphia County); Remote; USD 45,000 - 65,000; Full time

Job summary

Join a leading healthcare company as an AR Collections Specialist, contributing to timely and accurate claim submissions. The role is remote, focusing on medical collections in a compliance-driven environment, requiring strong analytical skills and experience in high-volume settings.

Benefits

Full compensation/benefits package

401(k) with company match

Paid time off and holiday pay

Job security with career advancement opportunities

Qualifications

• 2-3 years experience in Medical Collections in a high-volume environment preferred.
• Strong understanding of ICD-10 codes, CPT codes, and UB-04 forms.

Responsibilities

• Review Denial Workflow for follow-up tasks and credit balances.
• Prepare appeal packets and update workflow with notes.

Skills

Medical Collections Compliance

Communication Skills

Analytical Skills

Multi-tasking

Detail-oriented

Education

High School Diploma or equivalent

Associate or Bachelor's Degree in Finance-related field

Tools

Microsoft Office

Job description

At Sevita we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children and their families across the United States. As a member of our corporate team, you’ll help shape the work that supports how our business runs, the services we provide, and the relationships we build with those we serve and each other. Join us, and experience a career well lived.

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.

This role is 100% remote and can be performed from anywhere in the US.

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

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 – Apply Today!

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. With Corporate operations located in the Boston Seaport, Lawrence, Massachusetts and Edina, Minnesota,today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve.
Equal Opportunity Employer, including disability/vets.