Remote Medical Collections Specialist

Confluent Health LLC; Indiana; Remote; USD 25,000 - 33,000; Full time

Job summary

Confluent Health, LLC is seeking a remote Accounts Receivable professional focused on collecting balances from commercial, government, and patient accounts. You will follow approved revenue cycle procedures, monitor outstanding items, and work with payors to maximize reimbursement.

The role requires strong problem solving, meticulous attention to detail, and the ability to manage multiple tasks independently while delivering high-quality customer service.

Qualifications

• High school diploma or GED required.
• Computer proficiency and experience in windows-based technologies.
• Ability to be discrete and securely handle confidential information.
• Prior work experience in a medical office setting preferred.
• Excellent problem-solving skills, attention to detail, management of multiple tasks and the ability to do so independently.
• Ability to handle difficult situations with a positive attitude.
• Good interpersonal, oral and written communication skills.
• Strong organizational and time management skills.
• Ability to adhere to deadlines timely.
• Must be able to work as part of a team with peers and leadership within the organization.
• Must possess a high level of interpersonal skills including the ability to respond calmly and make rational decisions in stressful situations.

Responsibilities

• Fully Remote position.
• Monitors outstanding account balances to determine the next step in the collection process.
• Follows up on claims and claim denials to ensure maximum reimbursement for services provided.
• Reviews accounts receivable activities and calls on outstanding balances or claims.
• Generates appropriate paperwork, including insurance claim forms (original and re-filed) and collection letters.
• Reviews insurance payments (Explanation of Benefits - EOB's) to determine whether reimbursement is accurate. Navigate portals to send claims for adjudication.
• Investigates and appeals denied or underpaid claims.
• Responds to all inquiries received from patients and payors either by telephone or written request.
• Tracks and resolves discrepancies.
• Follows-up on unpaid insurance claims after denial to obtain settlement of claim.
• Audit insurance and patient accounts to determine whether a refund is needed.
• Promptly and courteously responds to all inquiries received from payors and patients either by telephone or written request.
• Provides clear communication and customer service on collection issues to external customers and internal business partners.
• Helps patients develop patient payment plans.
• Identifies patterns and trends that indicate a potential issue.
• Adheres to all policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
• Performs other duties that may be necessary or in the best interest of the organization.
• Submits billing data to insurance providers.
• Participates in continuing educational activities relative to assigned duties and responsibilities.

Skills

Attention to detail

Communication skills

Team player

Problem solving

Multitasking

Discretion with confidential data

Education

High school diploma or GED

Tools

Windows-based technologies

Job description

Confluent Health, LLC is seeking a remote Accounts Receivable professional focused on collecting balances from commercial, government, and patient accounts. You will follow approved revenue cycle procedures, monitor outstanding items, and work with payors to maximize reimbursement.

The role requires strong problem solving, meticulous attention to detail, and the ability to manage multiple tasks independently while delivering high-quality customer service.