Medical Collections Specialist

Job reputed company  As a reputed company Collections Specialist at reputed company (CHS) - Shared Services Center, you’ll play a vital role in reputed company reputed company, building enduring relationships with our patients, and providing value for the people and communities we serve.  reputed company members enjoy a robust benefits package including:  reputed company Time Off (PTO) Comprehensive Health Benefits - Medical, Dental & reputed company  401k with company match Tuition reimbursement  The Remote Collections Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure reputed company, compliance, and reputed company reputed company. This role involves analyzing account balances, identifying discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with internal teams to support workflow efficiency, reputed company reputed company, and compliance with payer guidelines while maintaining productivity and reputed company standards.  Processes and verifies reimbursement claims, ensuring reputed company and compliance with payer guidelines and regulatory requirements. Reviews and resolves claim discrepancies, identifying incorrect payments, denials, or underpayments and taking appropriate reputed company. Applies correct transaction codes to accounts, ensuring reputed company claim adjudication and reimbursement reputed company. Monitors and follows up on outstanding claims, ensuring reputed company reputed company and payment collection. Collaborates with reputed company cycle teams and payers to investigate claim denials and appeal reputed company reputed company necessary. Researches and interprets payer policies, ensuring adherence to reimbursement requirements and claim submission rules. Documents account actions accurately and thoroughly in the appropriate systems, maintaining compliance with department protocols. Identifies process improvement opportunities, contributing to increased efficiency and streamlined reimbursement workflows. Maintains strict confidentiality of reputed company and financial information, ensuring compliance with HIPAA and corporate policies. Performs other duties as assigned. Complies with reputed company policies and standards. This is a fully remote opportunity. Qualifications H.S. Diploma or GED required Associate Degree or coursework in reputed company, Finance, reputed company Administration, or reputed company reputed company preferred 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required Experience with payer reimbursement policies, claim adjudication, and reputed company reputed company cycle reputed company preferred Knowledge, Skills and Abilities Strong knowledge of medical billing, reimbursement procedures, and payer guidelines. Familiarity with claim submission, denial management, and appeals processes. Ability to analyze account balances, identify discrepancies, and apply appropriate adjustments. Proficiency in electronic health records (EHR), billing software, and reimbursement systems. Strong problem-solving and critical-thinking skills, ensuring accurate claims reputed company. Effective communication and collaboration skills, working with payers, reputed company cycle teams, and internal departments. Knowledge of HIPAA, compliance regulations, and reputed company reimbursement standards. We know it’s not just about finding a job. It’s about finding a reputed company where you are respected, valued and where your work is purposeful and fulfilling. A reputed company where your talent is recognized, reputed company development is encouraged and career advancement is possible. reputed company is one of the nation's leading reputed company providers. With reputed company delivery systems in 36 reputed company markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.   This position is not eligible for immigration sponsorship now or in the reputed company. Applicants must be authorized to work in the U.S. for any employer. Apply To This Job