REMOTE Medical Collections Specialist

TEKsystems, Inc.; Salt Lake City (UT); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company in business and technology services is seeking an RCM Specialist specializing in Medicare collections. This fully remote position involves researching and resolving unpaid claims, requiring excellent communication skills, analytical abilities, and at least 6 months of RCM experience. The pay is fixed at $22.00 per hour, with multiple benefits available.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Time Off/Leave (PTO, Vacation or Sick Leave)

Qualifications

• Minimum 6 months RCM experience, preferably in Medicare collections.
• Proficiency in Microsoft Office tools is essential.
• Excellent written and verbal communication skills.

Responsibilities

• Conduct collections activities, focusing on Medicare claims.
• Research and resolve unpaid or underpaid accounts receivable.
• Maintain confidentiality of patient information following HIPAA regulations.

Skills

Problem-solving

Communication

Critical thinking

Computer competency

Education

High school diploma or equivalent (GED)

Tools

Microsoft Office

Job description

Description

Specialists in this role will conduct collections activities which will entail contacting Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request rebills or adjustments on claims.

• Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system
• Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claim
• Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
• Stay current on communication relating to healthcare reimbursement and regulatory changes
• Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives
• Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Consistent and punctual attendance as scheduled is an essential responsibility of this position

Location: Fully remote (excluding California)

Schedule: Monday-Friday 8am-4:pm MST (30 min lunch)

Required Qualifications:

• Minimum 6 months RCM experience - ideally Medicare collections, but will also consider someone who's done any function in the medical billing cycle (prior auths, appeals, denials, claims processing)
• High school diploma or equivalent (GED)
• Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote
• Excellent and demonstrated written and verbal communication skills
• Computer competency; typing, basic computer troubleshooting, and navigation
• Ability to problem solve and critically think root cause analysis

Pay and Benefits

The pay range for this position is $22.00 - $22.00/hr.

Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 16, 2025.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.