Accounts Receivable Insurance Follow Up Collector-Hybrid/Remote

We are looking for someone with a solid background in billing and insurance in a health care setting, Customer Service oriented, all while maintaining confidentiality.

Take a step forward in your career with Bradford Health Services.

Position Title: Accounts Receivable Collector
Department: Fiscal Services
Reports To: Revenue Cycle Operations Manager
Supervises: N/A

Position Summary

The Accounts Receivable Collector is responsible for the comprehensive follow-up and resolution of aged healthcare accounts receivable. This includes managing payer denials, conducting detailed account reviews, and ensuring the timely and accurate resolution of outstanding balances. The position requires a strong focus on problem-solving, attention to detail, and the ability to work collaboratively with internal and external stakeholders while maintaining a high level of professionalism and compliance with confidentiality standards.

Qualifications

• Education: High School diploma or GED equivalent required.



• Experience: Minimum of one (1) year of experience in healthcare billing and collections, including working knowledge of payer requirements, insurance denials, and electronic health record systems.



• Skills:
  
  
  
  
  
  • Proficiency in typing (minimum 50 wpm) and data entry with high accuracy.
  
  
  
  • Strong organizational and time management skills.
  
  
  
  • Effective communication skills, both verbal and written.
  
  
  
  • Ability to work independently with minimal supervision.
  
  
  



• Technical Requirements: Familiarity with billing software, electronic claims submission, and Microsoft Office Suite.



• Physical Requirements: Ability to sit for extended periods (up to 7 hours per 8-hour shift) and to see and hear with or without correction.



• Additional Requirements: If applicable, two years of continuous, verifiable abstinence for individuals in recovery.

Essential Functions

• Accounts Receivable Management
  
  
  
  
  
  • Perform follow-up on aged accounts receivable to ensure timely resolution of balances.
  
  
  
  • Review and analyze payer denials, identify trends, and take corrective action as needed.
  
  
  
  • Conduct thorough reviews of patient accounts during the follow-up process to ensure accuracy and completeness of billing.
  
  
  

• Claim Submission and Monitoring
  
  
  
  
  
  • Submit accurate and complete claims to insurance companies within one (1) business day of creation.
  
  
  
  • Track and follow up on outstanding claims within 14 days of submission and at regular intervals thereafter until resolution.
  
  
  

• Patient Account Management
  
  
  
  
  
  • Communicate with patients regarding outstanding balances and establish payment arrangements when appropriate.
  
  
  
  • Follow up on patient account balances within 30 days of statement mailing and regularly thereafter until resolution.
  
  
  

• Documentation and Reporting
  
  
  
  
  
  • Maintain accurate and up-to-date collection notes in the electronic system in compliance with organizational policies.
  
  
  
  • Provide regular updates to the Revenue Cycle Operations Manager and other stakeholders regarding account activity and escalations.
  
  
  

• Collaboration and Communication
  
  
  
  
  
  • Serve as a professional point of contact for internal and external stakeholders, including insurance companies, patients, and third-party vendors.
  
  
  
  • Escalate unresolved or complex issues to the appropriate supervisor in a timely manner.
  
  
  

• Compliance and Confidentiality
  
  
  
  
  
  • Adhere to the provisions of 42 CFR Part 2 (Confidentiality of Alcohol and Drug Abuse Patient Records) and 45 CFR (HIPAA).
  
  
  
  • Ensure all credit information and patient account details remain confidential.
  
  
  

• Customer Service
  
  
  
  
  
  • Provide courteous and professional assistance to patients, families, and payer representatives.
  
  
  
  • Foster positive working relationships with colleagues, managers, and external contacts.
  
  
  

• Additional Duties
  
  
  
  
  
  • Review and recommend accounts for outside collection when necessary.
  
  
  
  • Participate in training and professional development activities as required.
  
  
  
  • Perform other duties as assigned to support the team and organizational goals.
  
  
  

Core Competencies

• Problem-solving and critical thinking.



• Accuracy and attention to detail.



• Knowledge of insurance billing practices and healthcare regulations.



• Ability to work in a cooperative and collaborative manner.



• Strong ethical standards and commitment to maintaining confidentiality.

Work Environment and Expectations

• Maintain regular attendance and punctuality.



• Work in a fast-paced, deadline-driven environment.



• Ability to remain alert and focused to perform duties safely and effectively.