Medical Insurance Collections Specialist

Cardinal Health, Inc.; United States; Presencial; USD 22.000 - 35.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental and vision coverage

Paid time off

Health savings account

401k savings plan

MyFlexPay access

FSAs

Disability coverage

Work-Life resources

Paid parental leave

Wellness programs

Descripción de la vacante

Cardinal Health, Inc. is seeking a Coordinator, Collections, Insurance Accounts Receivable Specialist to manage insurance claim follow-ups and dispute resolution. You will work with payer portals, review EOBs, and coordinate with internal teams to improve cash flow.

The role emphasizes adherence to HIPAA, meeting productivity targets, and continuous learning of payer policies. Prior experience in oncology-related billing is a plus.

Formación

• 1-3 years of experience, preferred.
• High School Diploma, GED or equivalent work experience, preferred.
• Strong knowledge of medical insurance claim processing and denial management preferred. Medical Oncology/infusion experience is desired.
• Familiarity with Medicare, Medicaid, IPAs, commercial insurance plans, and managed care preferred.
• Proficiency in billing software (e.g. Athena, G4 Centricity, Unlimited Financials, etc.) and Microsoft Office Suite, PowerBI and Copilot experience desired.
• Excellent verbal and written communication skills.
• Ability to work independently and manage time effectively.
• Detail-oriented with strong analytical and problem-solving skills.

Responsabilidades

• Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
• Contact insurance companies via phone, portals, or E-Mail to check claim status, request reprocessing or elevate issues.
• Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions).
• Track and follow up on all submitted appeals until resolution.
• Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment.
• Document all collection activities in the practice management/billing system according to departmental procedures.
• Follow up on unpaid claims within payer-specific guidelines and timelines.
• Coordinate with other billing team members, coders, and providers to resolve claim discrepancies.
• Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines.
• Ensure compliance with HIPAA and all relevant federal/state billing regulations.
• Flag trends or recurring issues for team leads or supervisors.
• Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed).
• Assist with special projects, audits, or other duties as assigned.
• Understand and utilize technology and resources provided to work assigned payers and denial work queues.

Conocimientos

Insurance claim processing

Denial management

Communication skills

Analytical skills

Time management

Educación

High School Diploma

Herramientas

Athena

G4 Centricity

Unlimited Financials

Microsoft Office

PowerBI

Copilot

Descripción del empleo

Cardinal Health, Inc. is seeking a Coordinator, Collections, Insurance Accounts Receivable Specialist to manage insurance claim follow-ups and dispute resolution. You will work with payer portals, review EOBs, and coordinate with internal teams to improve cash flow.

The role emphasizes adherence to HIPAA, meeting productivity targets, and continuous learning of payer policies. Prior experience in oncology-related billing is a plus.