Huron logo
Huron

Huron is a global professional services firm elevating the vision of what's possible and then putting it into practice.

Insurance Collections Representative - HMS DBO

CollectionsCollectionsFull TimeRemoteMid LevelTeam 5,001-10,000Since 2002H1B SponsorCompany SiteLinkedIn

Location

Illinois

Posted

92 days ago

Salary

$19 - $25 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Insurance Collections Representative - HMS DBO

Huron

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. The Insurance Collections Representative is responsible for following up directly with commercial and government payers to resolve billing issues and secure appropriate reimbursement in a timely manner. This individual identifies and analyzes denials and payment variances, then enacts corrective measures as needed to resolve the errors. This role is a remote position supporting a virtual business office. As such, this role requires frequent and effective communication via phone, email, and instant messaging with the various engagement teams. Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required. .  Duties and Responsibilities:  Examines denied and underpaid claims to determine reasons for discrepancies from expected reimbursement  Provides payers with specific reasons for suspected underpayments and analyzes the given denial reasons by payer  Works with management to identify, trend, and address root cause of denials, helps pinpoint strategies for reducing A/R  Effectively handles all communications, including telephone, electronic, and paper correspondence from payers and departments within the business office  Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress  Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliances issues and payer discrepancies  Reports all identified compliance risks to appropriate leadership  Other duties and responsibilities as assigned.  Reporting and Supervision:  The Insurance Collections Representative will report to an HMS Manager Qualifications:  Candidate Requirement:  Current permanent US work authorization required  Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern revenue cycle  Broad Knowledge of Government Programs and Insurance Regulations  May be requested to work overtime and/or weekends to fulfil client requirements  Knowledge, Skill, and Ability Requirements  Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)  Ability to pay close attention to details; strong follow-up and follow-through skills  Requires the use of independent judgment, discretion and decision making abilities  Ability to interact with internal and external customers in a professional manner  Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible  Demonstrates a solid understanding of and adheres to all Huron Healthcare compliance program requirements Work Environment: • This job operates in a professional office environment. • This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands: • This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. The estimated salary range for this job is $19.23-$25.00/hour. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Analyst Country United States of America

Related Categories

Related Job Pages

More Collections Jobs

Transworld Systems Inc. logo

Commercial Collections Representative - Remote

Transworld Systems Inc.

Transworld Systems, Inc. is an industry leader for over 40 years, in providing business process outsourcing services including accounts receivable management, customer relationship management and back office services for a diversified customer base. Our 60,000 clients are empowered to successfully address immediate business needs, while facilitating long-term growth across the entire customer lifecycle.

Collections92 days ago
Full TimeRemoteTeam 10,001

Overview After the submission of your application, you will receive an email with instructions to complete a series of assessments through our online platform, Harver. Completing this AI-powered assessment is required for prompt consideration of your application, as it serves as the initial screening in our employment process. Candidates hired for work-from-home positions will receive company-issued equipment. Additional details regarding equipment policies and procedures will be provided during the interview and onboarding process. Work Location: This is a remote/work from home position. Compensation: $17+ per hour based on experience Build Your Future! Come join our thriving team as a Remote Collections Representative! We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the customer service arena. Why should you consider TSI? - Work from home - Paid training - Team-oriented work environment - Growth opportunity - Generous bonus opportunity - Comprehensive benefits package available: including medical, dental and vision, 401k retirement plan with employer matching, paid time off and paid holidays! Responsibilities At our contact centers, Collection Representatives are responsible for outbound calling as well as accepting incoming calls regarding past due accounts and securing payments on accounts that are past due. Qualifications - High School diploma or equivalent - Commercial or collections experience preferred - Previous skip tracing experience preferred - FDCPA knowledge - Professional phone etiquette and solid negotiating skills - Positive attitude and strong customer service aptitude - Ability to problem solve and multitask - Willingness to maintain confidentiality - Ability to exchange accurate information effectively over the phone For Remote Positions: The minimum internet speed requirements for remote work are as follows: - Broadband internet connection (No DSL, or Dial Up) - Hard wired connection required (no Wi-Fi, Wi-Fi hotspots) - Speed Test Results: 25 mbps download, 20 mbps upload This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company. We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.

United States
$17+ / hour
Universidad César Vallejo logo

Sales and Collections Teleoperator

Universidad César Vallejo

«En UCV valoramos y respetamos las características individuales de las personas. Esta posición forma parte de nuestra cultura organizacional y a la vez nos permite estar alineados a la Ley 29973 y 26772″

Collections92 days ago

Role Description Solicitamos: 20 Teleoperadores de ventas y cobranzas para el Contact Center - Trabajo Remoto. - Atender las consultas de los clientes y usuarios, ya sea por llamadas telefónicas, mensajería instantánea, redes sociales u otros canales, con las herramientas, políticas y protocolos operativos y de calidad establecidos. - Ejecutar las campañas de ventas y/o cobranzas por los canales, con las herramientas, políticas y protocolos operativos y de calidad establecidos. - Asistir a las capacitaciones, sesiones de feedback, de coordinación y rendir las evaluaciones, sean presenciales o virtuales, y dar muestras permanentes de mejoras en su desempeño. - Reportar los casos complejos que requieran atención directa de las áreas académicas o administrativas de la universidad. Qualifications - Educación mínima secundaria completa. - Experiencia mínima de 6 meses (Cobranzas y/o ventas indispensable). - Disponibilidad horaria completa. - Manejo de MS Office. - Procesador mínimo Core i3 o Ryzen 3 de doble núcleo, 8 GB de RAM, resolución de 1024 x 768 y disco duro de 128 GB. - Manejo de llamada, buen tono de voz, persuasivo y empático. Benefits - Ingreso a planilla a partir del primer día. - Convenios educativos. - Grato ambiente laboral.

Peru
Job Closed
Full TimeRemoteTeam 501-1,000

Job DetailsJob Location: North Carolina - Charlotte, NC 28210Position Type: Full TimePrimary Objective The Precertification and Financial Collection Specialist plays a critical role in healthcare administration by ensuring that financial collections are conducted efficiently and professionally. This position requires close coordination with providers, patients, and pre-cert teams to confirm coverage and secure payment prior to services being rendered. Essential Functions Communicate with patients regarding their financial obligations and provide guidance on payment options. Coordinate with billing and clinical staff to ensure accurate documentation and timely collections. Communicating with providers office when patient is not able to meet financial obligation for guidance. Work and Maintain Good Faith estimate work queue Provide backup for team members as needed to assist with referral backlogs Skills and Abilities Strong attention to detail and organizational skills. Excellent communication and customer service abilities. Knowledge of insurance guidelines, medical terminology, and billing procedures. Proficiency with healthcare management software (EPIC) preferred Ability to work independently and collaboratively in a fast-paced environment. Core Competencies Attention to Detail Multi-Tasking & Adaptability Critical Thinking Follow up Clinical Competencies N/A Training Period 90 days of training within Epic Accountability Our mission is to be the premier eye, ear, nose, and throat group providing comprehensive, quality, and ethical healthcare to all in the Carolinas; to provide a favorable environment for the delivery of healthcare; and to provide for the wellbeing of the physicians and the employees of Charlotte Eye Ear Nose & Throat Associates, P.A. Work Environment The work environment characteristics described are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is remote, so employee should have discipline to work alone and have a dedicated workspace with highspeed internet which offers HIPAA compliance and room for two monitors. Supervisory Responsibilities N/A Position Type and Expected Hours of Work Full-time 40-hour weekly position. The hours may range between 7:00a.m. and 6:00p.m. Physical, Mental and Other Requirements The physical and mental demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands: Sitting and working on a computer for extended periods of time. Ability to wear a headset for telephone usage and team meetings Mental Demands: Ability to work alone, problem solve and work at a high pace. Other Requirements: Active & Current Driver’s license Clean driving record Consistent and Reliable Transportation Polite and professional disposition Travel Travel is not required for this position, except when training or occasional in-person staff meetings Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. In addition to those essential functions identified above, individuals in this position are also responsible for performing other duties or tasks that may be assigned. CEENTA retains the discretion to add or change the essential job functions of this position at any time without notice. A Typical Day in the Position The Precertification Specialist is responsible for obtaining prior authorizations for all scheduled surgical, DME, allergy, V&S, and radiology orders by successfully completing the approved authorization process for all payers. Typical responsibilities include but are not limited to: monitoring assigned work queues, contacting payers, contacting patients about any pre-service payments, address emails/in-baskets, address voicemails, scanned faxes, communicating as needed with provider offices. The Pre-certification specialist should be able to work independently and solve routine type issues, but when potential systemic issues are noted, these should be reported to the Precertification Team Supervisor.QualificationsEducation High school diploma or GED Experience 2 years of medical field experience At least 1 year of pre-certification experience preferred Epic experience preferred but not required Certificates, Licenses, Registrations N/A

United States
Job Closed
Community Health Systems Professional Services Corporation logo

Collections Specialist I - Remote

Community Health Systems Professional Services Corporation

Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct 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.

Collections92 days ago
Full TimeRemoteTeam 10,001

Our Benefits - Comprehensive Health Coverage: Medical, dental, and vision plans to keep you and your family healthy. - Competitive Pay & Full Benefits: A salary and package designed to reward your expertise and dedication. - Paid time off - Flexible scheduling - Future Security: 401(k) with matching. Job Summary The Collections Specialist I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations. Essential Functions - Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation. - Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process. - Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication. - Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information. - Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts. - Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances. - Ensures proper application of account dispositions and follows self-pay policies and procedures. - Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards. - Performs other duties as assigned. - Maintains regular and reliable attendance. - Complies with all policies and standards. Qualifications - H.S. Diploma or GED required - Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred - 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required - Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred Knowledge, Skills and Abilities - Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution. - Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software. - Knowledge of insurance contracts, denials management, and accounts receivable workflows. - Excellent problem-solving and analytical skills to research and resolve outstanding claims. - Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams. - Strong attention to detail with the ability to document account activity accurately. - Ability to work independently in a fast-paced environment while meeting productivity and quality standards. - Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct 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.

United States
Job Closed