Collection Coordinator

Deercreekseniorliving; Nashville (TN); On-site; USD 40,000 - 55,000; Full time

Job summary

Deercreekseniorliving is seeking a Collections Coordinator in Nashville, TN. This position entails managing collections after claims submission, including follow-ups with Medicare and Medicaid, denial management, and accurate account reconciliation.

The ideal candidate will have a minimum of one year of experience in medical collections or accounts receivable. Familiarity with the Medicare appeals process and payer portals is necessary. We are an equal opportunity employer committed to diversity.

Qualifications

• Minimum of 1 year of experience in medical collections or related field.
• Solid knowledge of reading EOBs and related documents.
• Proven ability to work with payer portals and EMR systems.

Responsibilities

• Perform all collections functions after claims submission and processing.
• Execute follow-up on outstanding accounts with payer follow-ups.
• Research denial causes and manage appropriate resolutions.
• Prepare and submit formal appeals with required documentation.
• Accurately reconcile payments and manage patient communication.

Skills

Medical collections

Accounts receivable follow-up

Denial appeals

EOB interpretation

Medicare appeals process

Tools

EMR system

Payer portals

Job description

Position Summary

The Collections Coordinator is responsible for performing all collections functions after claims have been submitted and processed. This role involves proactive follow‑up with payers, meticulous denial management, and accurate account reconciliation to maintain a healthy accounts receivable (AR).

Essential Responsibilities and Duties

• Execute targeted follow‑up on outstanding accounts with Medicare, Medicaid, and commercial carriers based on AR aging reports to facilitate timely payment.
• Research the cause of payment denials (e.g., lack of authorization, documentation errors, untimely filing) and take necessary steps for resolution, correction, and resubmission or appeal.
• Prepare and submit formal appeals for denied claims, gathering required documentation (clinical and administrative) to overturn the payer's initial decision.
• Accurately reconcile posted payments with expected reimbursement, identifying discrepancies and contractual short‑pays that require further follow‑up.
• Manage the patient portion of collections, including generating and mailing statements and communicating with patients regarding payment plans in a professional and compliant manner.
• Document all collection activities, communications with payers, and status updates on the patient's account within the EMR system accurately.
• Report common denial codes and collection roadblocks to the Billing Lead or Director of RCM to help identify and resolve upstream process issues.
• Perform other appropriate services and special projects as assigned.

Qualifications & Requirements

• Minimum of 1 year of experience in medical collections, accounts receivable follow‑up, or denial appeals, with experience in Home Health or Hospice preferred.
• Solid working knowledge of reading and interpreting EOBs (Explanation of Benefits), RAs (Remittance Advices), and payer correspondence.
• Proven ability to submit claims and track payment status through payer portals and a dedicated EMR system.
• Familiarity with the Medicare appeals process (e.g., Redetermination).

Equal Opportunity Employer

We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.