Senior Collections Associate

Talent Groups; Philadelphia (Philadelphia County); On-site; USD 42,000 - 65,000; Full time

Job summary

Talent Groups is seeking a healthcare billing specialist to manage patient accounts and resolve insurance balances in a fast-paced environment.

You will review denials, follow up through payer portals and remits, and file appeals as needed.

Ideal candidates have 2+ years in revenue cycle, strong problem-solving, and familiarity with Epic and EHR systems, with solid Excel skills and HIPAA knowledge.

Qualifications

• 2+ years of healthcare billing, collections, payment posting, patient accounts, or revenue cycle operations.
• Strong knowledge of healthcare claim submission and insurance reimbursement processes.
• Experience with denial management, appeals, AR follow-up, and payer resolution.
• Experience using EHR and healthcare revenue cycle/financial management systems.
• Proficiency with Microsoft Office, particularly Excel.
• Knowledge of HIPAA/PHI requirements.

Responsibilities

• Manage patient accounts and resolve outstanding insurance balances.
• Review no-pay/no-response and denied claims and determine resolution.
• Perform insurance follow-up through payer portals, remits, and calls.
• Research and resolve denials, underpayments, payment issues, and claim discrepancies.
• File and follow up on insurance appeals as needed.
• Review CPT, ICD-10, HCPCS, COB, registration discrepancies, payer requirements, and contracts.
• Make account adjustments and route issues to Coding, Medical Records, Case Management, Billing, and Clinical teams.
• Identify payment and denial trends and escalate recurring issues to leadership.
• Maintain documentation in patient accounting systems.
• Communicate with patients/families when guarantor intervention is required.
• Meet productivity, quality, and turnaround-time metrics.
• Support special projects, process improvements, and team training.

Skills

Analytical skills

Problem-solving

Organizational skills

Communication skills

Customer service

Excel proficiency

Attention to detail

Education

High School Diploma/GED

Bachelor's degree preferred

Tools

Epic

EHR systems

Revenue cycle software

Microsoft Excel

Job description

• Manage patient accounts and resolve outstanding insurance balances.
• Review no-pay/no-response and denied claims and determine appropriate resolution.
• Perform insurance follow-up through payer portals, electronic/paper remits, and phone calls.
• Research and resolve denials, underpayments, payment issues, and claim discrepancies.
• File and follow up on insurance appeals as needed.
• Review CPT, ICD-10, HCPCS, COB, registration discrepancies, payer requirements, and contracts.
• Make appropriate account adjustments and route issues to departments such as Coding, Medical Records, Case Management, Billing, and Clinical teams.
• Identify payment and denial trends and escalte recurring issues to leadership.
• Maintain accurate and thorough documentation in patient accounting systems.
• Communicate with patients/families when guarantor intervention is required.
• Meet established productivity, quality, and turnaround-time metrics.
• Support special projects, process improvements, and team training as assigned.
• High School Diploma/GED required; Bachelor's degree preferred.
• 2+ years of experience in healthcare billing, collections, payment posting, patient accounts, or revenue cycle operations.
• Strong knowledge of healthcare claim submission and insurance reimbursement processes.
• Experience with denial management, appeals, AR follow-up, and payer resolution.
• Experience using EHR and healthcare revenue cycle/financial management systems.
• Strong analytical, problem-solving, organizational, and communication skills.
• Proficiency with Microsoft Office, particularly Excel.
• Ability to work independently and prioritize multiple assignments.
• Strong customer service and interpersonal skills.
• Knowledge of HIPAA/PHI requirements.
• Ability to use 10-key by touch.
• 3+ years of healthcare revenue cycle experience.
• Experience with Epic.
• Knowledge of hospital and/or physician billing and third-party reimbursement.