Role Description
The Accounts Receivable Collector is responsible for the comprehensive follow-up and resolution of aged healthcare accounts receivable. This includes managing payer denials, conducting detailed account reviews, and ensuring the timely and accurate resolution of outstanding balances. The position requires a strong focus on problem-solving, attention to detail, and the ability to work collaboratively with internal and external stakeholders while maintaining a high level of professionalism and compliance with confidentiality standards.
Work Environment: Remote
Responsibilities
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Perform follow-up on aged accounts receivable to ensure timely resolution of balances
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Review and analyze payer denials, identify trends, and take corrective action as needed
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Conduct thorough reviews of patient accounts during the follow-up process to ensure accuracy and completeness of billing
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Submit accurate and complete claims to insurance companies within one (1) business day of creation
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Track and follow up on outstanding claims within 14 days of submission and at regular intervals thereafter until resolution
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Communicate with patients regarding outstanding balances and establish payment arrangements when appropriate
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Follow up on patient account balances within 30 days of statement mailing and regularly thereafter until resolution
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Maintain accurate and up-to-date collection notes in the electronic system in compliance with organizational policies
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Provide regular updates to the Revenue Cycle Operations Manager and other stakeholders regarding account activity and escalations
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Serve as a professional point of contact for internal and external stakeholders, including insurance companies, patients, and third-party vendors
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Escalate unresolved or complex issues to the appropriate supervisor in a timely manner
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Adhere to the provisions of 42 CFR Part 2 (Confidentiality of Alcohol and Drug Abuse Patient Records) and 45 CFR (HIPAA)
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Ensure all credit information and patient account details remain confidential
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Provide courteous and professional assistance to patients, families, and payer representatives
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Foster positive working relationships with colleagues, managers, and external contacts
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Review and recommend accounts for outside collection when necessary
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Participate in training and professional development activities as required
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Perform other duties as assigned to support the team and organizational goals
Qualifications
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High school diploma or GED equivalent required
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Minimum of one (1) year of experience in healthcare billing and collections, including working knowledge of payer requirements, insurance denials, and electronic health record systems
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Proficiency in typing (minimum 50 wpm) and data entry with high accuracy
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Strong organizational and time management skills
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Effective communication skills, both verbal and written
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Ability to work independently with minimal supervision
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Familiarity with billing software, electronic claims submission, and Microsoft Office Suite
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Ability to sit for extended periods (up to 7 hours per 8-hour shift) and to see and hear with or without correction
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If applicable, two years of continuous, verifiable abstinence for individuals in recovery
Benefits
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Medical Coverage β Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.
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Expanded Coverage β Options for domestic partners and a wider network of in-network providers.
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Mental Health Support β Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.
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Voluntary Coverages β Pet insurance, home and auto insurance, family legal services, and more.
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Student Loan Repayment β Available for nurses and therapists.
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Retirement Benefits β 401(k) plan through Voya to help employees plan for the future.
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Generous PTO β A robust paid time off policy to support work-life balance.
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Voluntary Benefits for Part-Time Employees β Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.