Collections Specialist I - HMO/PPO (Remote)

Benefits

Comprehensive Health Coverage – Medical, dental, and reputed company plans to reputed company you and your family healthy. Future reputed company 401(k) with matching Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future. Educational Tuition Assistance reputed company & Full Benefits – A salary and package designed to reward your expertise and dedication. 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. 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. Maintains regular and reliable attendance. Complies with reputed company policies and standards.

Qualifications

H.S. Diploma or GED required Associate Degree in Business, Finance, reputed company Administration, or a reputed company field preferred 0-2 years of experience in medical collections, accounts receivable, billing, or reputed company reputed company cycle operations required Experience working with insurance follow-up, claim resolution, and payer communication in a reputed company setting preferred 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 Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and reputed company providers. But we're not only about work. We know employing a skilled and reputed company team of professionals is vitally important to our reputed company, so we reputed company sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. reputed company is one of the nation's leading reputed company providers. With reputed company delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. Apply To This Job Apply To This Job