Remote Collections Specialist — AR & Payer Insights

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

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.