Collections Representative

Responsibilities:

• Conduct follow‑up with insurance carriers to resolve outstanding balances.

• Verify claim status, resolve denials, and secure timely reimbursement through calls, portals, and documentation review.

• Research account discrepancies, underpayments, and missing remittances.

• Coordinate with internal RCM teams to resolve claim issues and escalate high‑priority accounts when needed.

• Document all collection activities clearly and accurately in the billing system.

• Ensure compliance with payer rules, internal policies, and HIPAA guidelines.

• Perform related tasks and support team goals as assigned.

Qualifications:

• High school diploma or equivalent; Associate degree preferred.
• 1–2 years of experience in medical collections, billing, or revenue cycle operations.
• Ability to interpret EOBs/ERAs and navigate billing software.