Hospital AR Collector – Level III - Remote

Overview

The Hospital AR Collector – Level III is responsible for managing high-balance insurance accounts, ensuring timely and accurate reimbursement through detailed follow-ups and appeals.

In Short

• Responsible for follow-up and resolution of high-balance insurance accounts.
• Requires extensive knowledge of insurance payers and medical billing practices.
• Must complete in-depth reviews and follow-ups on accounts typically over $10,000.
• Identifies trends causing delays or denials and escalates issues appropriately.
• Writes appeals and reconsiderations for denied or underpaid claims.
• Reviews medical records and contracts for medical necessity.
• Works closely with billing, coding, and payment posting departments.
• Communicates effectively with insurance carriers and internal departments.
• Handles a minimum of 30 accounts daily with high accuracy.
• Maintains productivity standards set by the department.

Requirements

• 5-10 years of experience in Surgical or Acute Care Hospital settings.
• Strong knowledge of commercial and government payers.
• Excellent verbal and written communication skills.
• Ability to handle high-stress situations and competing priorities.
• Experience with Cerner and Nthrive required.
• Intermediate proficiency in Microsoft Office, especially Excel and Outlook.
• Strong mathematical, research, and problem-solving skills.
• Understanding of medical terminology and CPT/ICD-10 coding.
• High school diploma or equivalent required.

Benefits

• Opportunity to work remotely.
• Potential for career advancement within the organization.
• Collaborative work environment with cross-functional teams.
• Professional development and training opportunities.