Collector

Duties & Responsibilities:

• Research unpaid claims identify root causes of denials and perform required followâup actions to ensure timely adjudication.
• Identify and take appropriate action for billing secondary and tertiary insurances.
• Stay current with applicable thirdâparty payer regulations and requirements.
• Communicate payer trends and patterns to management.
• Document all actions related to account resolution in the patient record.
• Review and apply payer logic as outlined in negotiated contracts.
• Prioritize workflow to reduce bad debt and lower days in A/R.
• Meet and maintain productivity and quality audit standards.
• Perform other duties as assigned by management.

Qualifications:

Education

• High School Diploma or equivalent required.

Experience

• 23 years of medical collections experience preferred.

Knowledge Skills & Abilities

• Resultsâoriented; thrives in a fastâpaced highâenergy environment.
• Strong written and verbal communication skills.
• Ability to build and maintain positive working relationships with payers peers and leadership.
• Knowledge of medical terminology CPT and HCPCS coding.
• Proficient in analyzing claims to ensure reimbursement aligns with contractual terms.
• Strong organizational skills and ability to adapt to change.

Core Competencies

Agility

• Resourcefulness: Quickly adapts to changing circumstances; navigates obstacles effectively.
• Manages Uncertainty: Adjusts approach and behavior when situations are in flux.

Bias to Action

• Action Oriented: Takes initiative and makes decisions with available information.
• Delivering Results: Maintains focus on goals; resilient when facing setbacks.

Customer Focus

• Understands internal and external customer needs and values.

Managing Complexity

• Distills complex information to its essential components; identifies root causes in problemâsolving.

Conflict Management

• Resolves disputes effectively and fairly; remains constructive and respectful during disagreements.

Working Conditions: Normal office environment.

Benefits:

• Comprehensive health dental and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as or LinkedIn please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please