Collections Specialist - Remote

Surgery Partners, Inc.; Northern (KY); Hybrid; USD 45,000 - 75,000; Full time

Job summary

Surgery Partners, Inc. is seeking a billing, coding, and collection professional for a full-time remote position. The role emphasizes research of unpaid claims, denial analysis, and timely adjudication across primary and secondary payer processes.

Responsibilities include following payer regulations, documenting actions, and communicating trends to management. Strong emphasis on reducing accounts receivable days and maintaining productivity.

Qualifications

• Experience in billing, coding, and collections within healthcare.
• Knowledge of payer regulations and denials handling.
• Ability to communicate with management and payers effectively.

Responsibilities

• Research unpaid claims, identify denial root causes, and follow-up to ensure timely adjudication.
• Identify and take action for billing of secondary and tertiary insurance claims.
• Stay informed of current third-party payer regulations and requirements.
• Communicate payer trends and patterns to management.
• Document all account resolution activities in the patient’s record.
• Review and execute payer logic within negotiated contracts.
• Prioritize workflow to reduce bad debt and AR days.
• Meet productivity and audit standards and perform other duties as assigned.

Skills

Agility

Bias to Action

Customer Focus

Managing Complexity

Conflict Management

Job description

Job Category: Billing, Coding, and Collection

Requisition Number: COLLE040803

• Posted : August 12, 2026
• Full-Time
• Remote

Locations

Showing 1 location

USA Remote
United States

USA Remote
United States

• Research unpaid claims, determine denial root causes, and perform appropriate follow-up actions to ensure timely claim adjudication.
• Identify and take appropriate action for the billing of secondary and tertiary insurance claims.
• Remain informed of all current applicable third-party payer regulations and requirements.
• Communicate payer trends and patterns to management.
• Document all account resolution activities and actions taken within the patient's record.
• Review, comprehend, and execute payer logic within negotiated contracts.
• Prioritize workflow to reduce or eliminate bad debt and support a reduction in accounts receivable (AR) days.
• Meet and maintain established productivity and audit standards.
• Perform other duties as assigned by management.

Core Competencies

Agility

• Adapts quickly to changing circumstances and effectively navigates obstacles and constraints.
• Remains comfortable with uncertainty and adjusts approaches to meet evolving business needs.

Bias to Action

• Takes initiative and moves work forward with a logical, solution-oriented approach.
• Makes sound decisions and acts effectively, even without having the complete picture.
• Demonstrates resilience and maintains focus on achieving goals despite challenges or setbacks.

Customer Focus

• Understands the needs and priorities of both internal and external customers.
• Builds positive relationships and delivers service that meets customer expectations.

Managing Complexity

• Analyzes complex situations and identifies the most critical issues.
• Distinguishes key information from distractions to solve problems effectively.
• Identifies root causes of successes and failures to drive continuous improvement.

Conflict Management

• Resolves disagreements and disputes fairly and professionally.
• Maintains a positive, constructive, and respectful approach during difficult conversations.
• Works collaboratively to achieve mutually beneficial outcomes.
• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

ENVIRONMENTAL/WORKING CONDITIONS : Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

Qualifications

Skills

Behaviors

Motivations

Education

Experience

Licenses & Certifications

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.