Remote AR Collections Specialist (Healthcare)

Summit BHC; Franklin (TN); A distancia; USD 25.000 - 39.000; Jornada completa

Descripción de la vacante

Summit Healthcare Mgmt is seeking a Collections Specialist to manage accounts receivable, focusing on insurance follow-up and timely reimbursement. The role operates within the Centralized Business Office and requires attention to detail in resolving discrepancies.

Responsibilities include pursuing payments from payers and patients, maintaining productivity, and preparing adjustments. Remote work option offered with emphasis on accurate, timely AR activities and collaboration with UR teams.

Formación

• 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 ICD-10CM coding.

Responsabilidades

• Pursues payment from third party payers and patients. 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.
• Research slow or disputed claims and takes appropriate action.
• Generates AR reports as required by management.

Conocimientos

Communication skills

Educación

High School or GED

Associate degree preferred

Herramientas

UB04 forms

HCFA 1500 forms

CPT-4 coding

ICD-10CM coding

Descripción del empleo

Summit Healthcare Mgmt is seeking a Collections Specialist to manage accounts receivable, focusing on insurance follow-up and timely reimbursement. The role operates within the Centralized Business Office and requires attention to detail in resolving discrepancies.

Responsibilities include pursuing payments from payers and patients, maintaining productivity, and preparing adjustments. Remote work option offered with emphasis on accurate, timely AR activities and collaboration with UR teams.