[Hiring] Collections Coordinator @NAVISTA

Role Description

The Coordinator, Collections, is responsible for the timely follow-up and resolution of assigned payer, oncology medical insurance claims. This role ensures accurate and efficient collection of outstanding balances from insurance payers, working to reduce aging accounts receivable and increase cash flow for the organization. Productivity and QA are closely monitored/measured on a weekly basis, and each team member is held accountable for their work quality.

• 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 escalate 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.

Qualifications

• 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.

Requirements

• Applies acquired job skills and company policies and procedures to complete standard tasks.
• Works on routine assignments that require basic problem resolution.
• Refers to policies and past practices for guidance.
• Receives general direction on standard work; receives detailed instruction on new assignments.
• Consults with supervisor or senior peers on complex and unusual problems.
• Uses analytical skills to determine next steps on complex payer issues.
• Applies organizational skills to prioritize daily activities that in turn produce the identification of trends/issues or that increase cash flow.

Benefits

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs