Strategic Insurance AR Collections Specialist

Cardinal Health; United States; Remote; USD 22.000 - 35.000; Vollzeit

Benefits dieser Stelle

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Disability coverage

Work‑Life resources

Paid parental leave

Healthy lifestyle programs

Zusammenfassung

Navista, part of Cardinal Health, seeks a Coordinator, Collections to manage insurance accounts receivable for oncology services. You will resolve aging claims, contact payers, analyze denials, and follow up on appeals to improve cash flow and accuracy.

Ideal candidates have 1–3 years in medical billing, knowledge of payer policies, and proficiency with billing software. Excellent communication and time management are essential in a fast-paced team.

Qualifikationen

• 1‑3 years of experience preferred.
• High School Diploma, GED or equivalent work experience preferred.
• Strong knowledge of medical insurance claim processing and denial management preferred.
• Medical Oncology/infusion experience is desired.
• Familiarity with Medicare, Medicaid, IPAs, commercial insurance plans, and managed care preferred.
• Proficiency in billing software (e.g. Athena, G4 Centricity, Unlimited Financials, etc.) and Microsoft Office Suite, PowerBI and Copilot experience desired.
• Excellent verbal and written communication skills.
• Ability to work independently and manage time effectively.
• Detail‑oriented with strong analytical and problem‑solving skills.

Aufgaben

• Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
• Contact insurance companies via phone, portals, or E‑Mail to check claim status, request reprocessing or escalation issues.
• Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions).
• Track and follow up on all submitted appeals until resolution.
• Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment.
• Document all collection activities in the practice management/billing system according to departmental procedures.
• Follow up on unpaid claims within payer-specific guidelines and timelines.
• Coordinate with other billing team members, coders, and providers to resolve claim discrepancies.
• Maintain up‑to‑date knowledge of payer policies, coding changes, and reimbursement guidelines.
• Ensure compliance with HIPAA and all relevant federal/state billing regulations.
• Flag trends or recurring issues for team leads or supervisors.
• Meet daily/weekly productivity goals (e.g., number of claims worked, follow‑ups completed).
• Assist with special projects, audits, or other duties as assigned.
• Understand and utilize technology and resources provided to work assigned payers and denial work queues.

Kenntnisse

Medical insurance processing

Denial management

Billing software

PowerBI

Copilot

Communication

Time management

Detail-oriented

Ausbildung

High School Diploma or GED

Tools

Athena

G4 Centricity

Unlimited Financials

PowerBI

Jobbeschreibung

Navista, part of Cardinal Health, seeks a Coordinator, Collections to manage insurance accounts receivable for oncology services. You will resolve aging claims, contact payers, analyze denials, and follow up on appeals to improve cash flow and accuracy.

Ideal candidates have 1–3 years in medical billing, knowledge of payer policies, and proficiency with billing software. Excellent communication and time management are essential in a fast-paced team.