Collections Specialist

Summit BHC; Nashville (TN); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Summit Healthcare Mgmt is seeking a Collections Specialist to manage accounts receivable including insurance follow up. The role emphasizes timely reimbursement and collaboration with centralized business office teams.

Remote work is offered, with a focus on minimizing aged or disputed claims and ensuring productive daily output. The ideal candidate has 3+ years of hospital or physician insurance collection experience, familiarity with UB04/HCFA forms and CPT-4/ICD10CM coding, and strong

Qualifications

• Three or more years of hospital or physician insurance collector experience.
• Knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding.
• Excellent written and verbal communication skills.

Responsibilities

• Pursues payment from third party payers and patients when needed.
• Initiates contact with third-party payers and tracks payment progress.
• Maintains current follow up queue with limited noncompliant accounts (≤7 days).
• Researches slow or disputed claims and takes appropriate action.

Skills

AR management

Insurance follow up

Communication skills

Education

High School or GED

Associates degree preferred

Tools

Hospital billing software

Job description

**About the Job:**PURPOSE STATEMENT: The Collections Specialist is responsible for providing AR management to include insurance account follow up in a timely and effective manner using healthcare business software applications as a part of the Centralized Business Office team. Responsibilities include recording receivable activities, identifying and resolving account discrepancies to ensure timely reimbursement.**Roles and Responsibilities:****ESSENTIAL FUNCTIONS:*** Pursues payment from third party payers as well as patients when needed. Initiates contact with third-party payers and tracks payment progress.* Ensures assigned follow up queue is current and noncompliance accounts are limited to no more than 7 days delinquent for follow-up.* Prepare adjustment forms and refund requests for management approval.* Reports payer and denial trends to upper management through continued communication with local UR teams.* Participates in AR Review calls with assigned facility.* Managed daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 40 accounts worked per day minimum. Definition of worked account means activity that produces resolution of payment. Worked accounts will be sampled to assure steps taken did or will assist in payment.* Research slow or disputed claims and takes appropriate action.* Generates AR reports as required by management.**EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:*** High School or GED required, Associates degree preferred.* Three or more years of hospital or physician insurance collector experience required. Prefer behavioral health experience.* Knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding.* Excellent written and verbal communication skills.**LICENSES/DESIGNATIONS/CERTIFICATIONS**:Not Applicable.**WORK LOCATION:**This position is remote.**SUPERVISORY REQUIREMENTS:**This position is an Individual Contributor.Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE.