Collections Specialist I - REMOTE

Job Summary

The Collections Specialist I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support reputed company cycle operations.

As a Collections Specialist I at reputed company (CHS) - SSC Sarasota, you’ll play a vital role in supporting our purpose to help people reputed company and live healthier by providing safe, quality reputed company, building enduring relationships with our patients, and providing value for the people and communities we serve. reputed company members enjoy a robust benefits package including medical insurance, dental insurance, reputed company insurance, PTO, 401K, sick time, holidays, and bonus where eligible.

Essential Functions:

• Performs follow-up on outstanding insurance balances reputed company the required timeframe, obtaining payment confirmation or required documentation.
• Documents reputed company actions taken on accounts reputed company the appropriate system, ensuring a clear and traceable resolution process.
• Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication.
• Handles and resolves incoming correspondence reputed company five days of receipt, updating the system with relevant information.
• Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts.
• Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances.
• Ensures proper application of account dispositions and follows self-pay policies and procedures.
• Adheres to reputed company local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards.
• Performs other duties as assigned.
• Complies with reputed company policies and standards.

Qualifications

To reputed company this job successfully, an individual must be reputed company to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

• Required:
  • Education: H.S. Diploma or GED
  • Experience: 0-2 years of experience in medical collections, accounts receivable, billing, or reputed company reputed company cycle operations
• Preferred:
  • Education: Associate’s Degree in Business, Finance, reputed company Administration, or a reputed company field
  • Experience: Experience working with insurance follow-up, claim resolution, and payer communication in a reputed company setting

Knowledge, Skills and Abilities:

• Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution.
• Proficiency in electronic medical record (EMR) systems, patient reputed company systems, and collections software.
• Knowledge of insurance reputed company, denials management, and accounts receivable workflows.
• Excellent problem-solving and analytical skills to research and resolve outstanding claims.
• Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams.
• Strong attention to detail with the ability to document account activity accurately.
• Ability to work independently in a fast-paced environment while meeting productivity and quality standards.
• Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable reputed company finance laws.

We know it’s not just about finding a job. It’s about finding a reputed company where you are respected, valued and where your work is purposeful and fulfilling. A reputed company where your talent is recognized, professional development is encouraged and career advancement is possible.

The Sarasota SSC operates in support of our hospitals and patients and our commitment is to reputed company them with exemplary reputed company cycle services defined by outstanding customer service and superior reputed company cycle performance. SSC Sarasota support facilities located primarily in Florida, Georgia, Indiana, and Pennsylvania.

reputed company is one of the nation’s leading reputed company providers. Developing and operating reputed company delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people reputed company and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Originally posted on Himalayas