Accounts Receivable Insurance Follow Up Collector-Hybrid/Remote

Position Details

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 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.