Hospital A/R Collector (High Dollar) - Remote

Overview

The Hospital A/R Collector is responsible for resolving outstanding surgical claims to ensure maximum reimbursement, requiring strong knowledge in medical collections and related processes.

In Short

• Act as a resource for all critical aspects of the CBO.
• Timely follow-up on all outstanding accounts receivable.
• Manage daily work queue prioritizing high dollar claims.
• Leverage knowledge of Medicare and Medicaid for claim resolution.
• Review insurance payments for accuracy based on contracts.
• Justify medical necessity through documentation review.
• Send appeals and provide necessary documentation.
• Recommend adjustments or refunds for overpayments.
• Work on 30 accounts daily with high accuracy rating.
• Additional tasks may be assigned based on business need.

Requirements

• 2-3 years of third-party payer or hospital clerical experience.
• Good verbal and written communication skills.
• Ability to handle stressful situations and multi-task.
• Experience with Cerner, nThrive, or similar preferred.
• Intermediate proficiency in Microsoft Office.
• Strong mathematical and analytical skills.
• High school diploma or equivalent.

Benefits

• Professional development opportunities.
• Supportive work environment.
• Potential for career advancement.
• Health and wellness programs.
• Flexible work arrangements.