Accounts Receivable Insurance Collector

Strong knowledge of insurance claim processing and denial management preferred.
Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred.
Proficiency in billing software (e.g. Athena, G4 Centricity, etc.) and Microsoft Office Suite.
Excellent verbal and written communication skills.
Ability to work independently and manage time effectively.
Detail-oriented with strong analytical and problem-solving skills

Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues.
Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions).
Track and follow up on all submitted appeals until resolution.
Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment.
Document all collection activities in the billing system according to departmental procedures.
Follow up on unpaid claims within payer-specific guidelines and timelines.
Coordinate with other billing team members, coders, and providers to resolve claim discrepancies.
Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines.
Ensure compliance with HIPAA and all relevant federal/state billing regulations.
Flag trends or recurring issues for team leads or supervisors.
Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed).
Assist with special projects, audits, or other duties as assigned.

Strong knowledge of insurance claim processing and denial management preferred.
Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred.