Insurance Collections Specialist

We are seeking an accomplished Remote Insurance Collections Specialist to join our team.

MUST APPLY USING THIS LINK


forms.gle/gH8N9pjfEGjmS65i7

MUST HAVE C2 ENGLISH NO ACCENT

9-5 EST


This strategic role involves managing and collecting outstanding medical bills, negotiating payment plans, and ensuring timely payments from patients. The successful candidate will leverage strong communication and negotiation skills, along with experience in healthcare collections.
Key Responsibilities
Patient Account Resolution
Conduct sensitive outbound communications to address past-due balances using empathetic communication techniques
Employ de-escalation strategies for complex financial discussions
Document all interactions in HIPAA-compliant CRM systems
Strategic Repayment Solutions
Design personalized payment plans aligned with patients’ financial capabilities
Negotiate settlements and hardship arrangements per organizational policies
Analyze demographic/financial data to predict payment success rates
Insurance Coordination & Claims Resolution
Collaborate with insurance companies to resolve billing disputes and ensure proper claims processing
Investigate and appeal denied/delayed claims with commercial payers & government programs
Track payer performance metrics to identify systemic billing issues
Regulatory Compliance & Audit Preparedness
Maintain current knowledge of FDCPA, TCPA, and state-specific collection laws
Prepare documentation for OIG audits and compliance reviews
Implement CMS billing updates across patient portfolios
Financial Reporting & Analysis
Generate weekly aging reports with actionable recovery recommendations
Identify trends in denials/delays to advise process improvements
Present recovery rate forecasts to leadership
Candidate Requirements
Core Qualifications
2+ years’ experience in medical collections or a related field
Proven success in reducing outstanding accounts through effective negotiation
Expertise in:
Patient financial counseling
Insurance claims processing
Healthcare regulations
Technical Competencies
Advanced skills in:
Electronic medical records (EMRs)
Billing software (e.g., Epic Resolute, Cerner RevElate)
Predictive dialer systems (Five9, Talkdesk)
Microsoft Excel (pivot tables, macros)
Remote Work Specifications
Dedicated home office with:
Hardwired internet (25+ Mbps)
HIPAA-compliant VPN connectivity
Noise-canceling headset