A/R Specialist, Collector

Billing SpecialistBilling SpecialistFull TimeRemoteMid LevelTeam 10,001

Location

France

Posted

71 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

A/R Specialist, Collector

USPI

Position Overview: Reporting to the Client Operations Manager, the Revenue Cycle Specialist - Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. This position is responsible to resolve outstanding surgical claims resulting in maximum reimbursement. Responsibilities: - Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement. - Manage daily work queue to prioritize high dollar claim balances. - Review & work incoming insurance and patient correspondence including refund requests. - Send appeals when appropriate or provide the requested medical documentation. - Ability to review medical documentation to justify medical necessity. - Review patient balances to ensure accuracy and follow up with patients to obtain payments. - Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances. - Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents. - Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD’s) for claim resolution. - Negotiate payment amounts for procedures with Third Party Administrators for out of network providers. - Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.

Related Categories

Related Job Pages

More Billing Specialist Jobs

Teva Pharmaceuticals logo

Senior Meeting Specialist - REMOTE (EST/CST/MST)

Teva Pharmaceuticals

Founded in 1901, Teva Pharmaceuticals develops and produces medicine that improves health for people worldwide. Committed to being a global industry leader with a portfolio of 3,50

We Are Teva We’re Teva, a leading innovative biopharmaceutical company, enabled by a world-class generics business. Whether it’s innovating in the fields of neuroscience and immunology or delivering high-quality medicine worldwide, we’re dedicated to addressing patients’ needs now and in the future. Here, you will be part of a high-performing, inclusive culture that values fresh thinking and collaboration. You'll have the room to grow, the flexibility to balance life with work, and the opportunity to better health worldwide, together. Our Team, Your Impact The Senior Meeting Specialist leads the planning and execution of high-impact meetings across Teva Pharmaceuticals. This role ensures logistical excellence, regulatory compliance, and budget accountability while managing external vendors and supporting internal stakeholders. The Specialist also contributes to process improvement, training, and flagship events such as the National Field Meeting and President’s Club. How You’ll Spend Your Day All areas of responsibility listed below are essential to the satisfactory performance of this position by any incumbents with reasonable accommodation if necessary. Any non-essential functions are assumed to be included in other related duties or assignments. Meeting Planning & Execution • Lead end-to-end planning and execution of national and regional meetings, ensuring alignment with business objectives and compliance standards. • Collaborate with internal stakeholders to define meeting goals, agendas, and logistics. • Ensure timely shipping and arrival of all meeting materials. • Review and approve invoices, manage reimbursement issues, and maintain accurate documentation. Vendor Management • Manage relationships with external vendors including hotels, transportation, and production companies. • Negotiate contracts and ensure service delivery meets Teva’s quality and compliance standards. • Set clear objectives and expectations for vendors using structured project plans. Systems & Tools • Utilize CVENT and other meeting management tools to streamline planning, registration, and reporting. • Troubleshoot system issues and recommend enhancements to improve efficiency. • Maintain regulatory records and ensure audit readiness. Training & Process Improvement • Support onboarding and training of new associates in meeting planning best practices. • Identify and implement process improvements to enhance department efficiency and stakeholder satisfaction. Your Skills and Experience Any equivalent combination of education, training and/or experience that fulfills the requirements of the position will be considered. Education/Certification/Experience: • Bachelor’s degree required; CMP or HMCC certification preferred • Minimum of 3 years in meeting planning and facilitation, preferably in pharmaceutical or other similarly regulated industry • Experience with meeting management systems, i.e. CVENT required • Strong knowledge of hotel and vendor contract negotiations • Experience with hybrid and virtual meeting formats Skills/Knowledge/Abilities: • Highly detail oriented with the ability to plan and prioritize workloads for multiple projects and departmental needs • Strong time management and organizational skills • Advance skills in MS Office suite of products (Excel, PowerPoint, Outlook) • Knowledge of AMA, ACCME, and FDA regulations associated with promotion and industry supported scientific educational activities TRAVEL REQUIREMENTS • Up to 30% travel throughout the US and occasionally internationally, which may include weekend and overnight trips How We’ll Take Care of You At Teva, better health starts from within, and that includes you. From day one, you’ll be supported with benefits designed to help you thrive in and out of work. This includes generous annual leave, reward plans, flexible working schedules (dependent on role), access to tailored health support, and meaningful ways to give back to the community.  When it comes to your career, you’ll be encouraged to explore, evolve, and shape your path. Twist, our one-stop shop for career development platform, gives you access to a wide range of possibilities, from learning programs and short-term projects to opportunities for internal growth. Here, you’ll be part of a culture that empowers you to reach your goals and prioritize your wellbeing every step of the way.  We offer a competitive benefits package, including: • Comprehensive Health Insurance: Medical, Dental, Vision, and Prescription coverage starting on the first day of employment, providing the employee enrolls. • Retirement Savings: 401(k) with employer match, up to 6% and an annual 3.75% Defined Contribution to the 401k plan. • Time Off: Paid Time Off including vacation, sick/safe time, caretaker time and holidays. • Life and Disability Protection: Company paid Life and Disability insurance. Additional benefits include, but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible , Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more.  Compensation Data The annual starting salary for this position is between $82,640-$108,645 annually. Factors which may affect starting salary within this range and level of role may include geography/market, skills, education, experience and other qualifications of the successful candidate. Already Working @TEVA? Make sure to apply through our internal career site on Twist—your one-stop shop for career development Teva’s Equal Employment Opportunity Commitment Teva Pharmaceuticals is committed to equal opportunity in employment. It is Teva's policy that equal employment opportunity be provided without regard to age, race, creed, color, religion, sex, disability, pregnancy, medical condition, genetic information, marital status, sexual orientation, gender identity or expression, ancestry, national or ethnic origin, citizenship status, military status or status as a disabled or protected veteran, or any legally recognized status entitled to protection under applicable federal, state, or local laws.    Please advise us of any accommodations needed to support you throughout the recruitment and selection process. All accommodation information provided will be treated as confidential and used only for the purpose of providing an accessible candidate experience. Request a reasonable accommodation by sending an email to disabilityassistance@tevapharm.com with the nature of your request and your contact information. Only inquiries concerning a request for a reasonable accommodation will be responded to from this email address.   Important notice to Employment Agencies - Please Read Carefully   Teva Pharmaceuticals USA does not accept unsolicited assistance from agencies for employment opportunities.  All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company.  No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

United States
$82.6K - $108K / year
Job Closed
Insight Therapy Solutions logo

B2B Outreach Specialist - LATAM

Insight Therapy Solutions

We're changing the world one person at a time.

Full TimeRemoteTeam 51-200Since 2012H1B No Sponsor

This is a remote position. About Insight Therapy Solutions At Insight Therapy Solutions, we’re focused on making high-quality mental healthcare accessible across the U.S. As a growing telehealth provider, we work with therapists, clinics, and healthcare partners to expand access to care and support the communities we serve. About the Role We’re looking for someone who can actively build and grow our referral network by connecting with healthcare providers, clinics, and organizations. This role focuses on outreach, relationship-building, and pipeline management. You’ll be responsible for identifying potential partners, starting conversations, and turning those into meaningful, ongoing collaborations. ​ Benefits - Paid time off (PTO) - Paid U.S. holidays - Paid birthday leave - Parental leave - Monthly health stipend to support your well-being Why Join Us - 100% remote — work from home - Work closely with senior leadership and gain direct exposure - Be part of a collaborative, mission-driven team - Contribute to expanding access to mental health care through meaningful partnerships Key Responsibilities Outreach & Lead Generation - Research and identify potential partners (clinics, providers, healthcare organizations) - Conduct outreach through calls, emails, and platforms like LinkedIn - Initiate conversations and introduce Insight Therapy Solutions Partnership Development - Schedule and conduct discovery calls - Present our services and explore collaboration opportunities - Build and maintain strong, trust-based relationships with partners Pipeline & CRM Management - Maintain accurate and up-to-date CRM records - Track outreach activities, conversations, and follow-ups - Manage and organize a pipeline of opportunities Cross-Team Collaboration - Work closely with Marketing and leadership to align outreach efforts - Share feedback from conversations to help improve targeting and messaging What We’re Looking For - 2+ years of experience in sales, outreach, or business development (healthcare or telehealth experience is a plus) - Strong communication and relationship-building skills - Comfortable with consistent outreach and follow-ups - Organized and able to manage multiple conversations at once - Experience with CRM tools (or ability to learn quickly) - Self-driven and able to work independently in a remote environment Tools You’ll Use - CRM systems (e.g., Zoho or similar) - Google Workspace - Communication tools (email, calling platforms, LinkedIn) Work Hours - Full-time (40 hours a week) - Monday-Friday - 8 AM-5 PM Pacific Time (1 hour lunch break)

Nicaragua
Insight Therapy Solutions logo

B2B Outreach Specialist - PH

Insight Therapy Solutions

We're changing the world one person at a time.

Full TimeRemoteTeam 51-200Since 2012H1B No Sponsor

This is a remote position. About Insight Therapy Solutions At Insight Therapy Solutions, we’re focused on making high-quality mental healthcare accessible across the U.S. As a growing telehealth provider, we work with therapists, clinics, and healthcare partners to expand access to care and support the communities we serve. About the Role We’re looking for someone who can actively build and grow our referral network by connecting with healthcare providers, clinics, and organizations. This role focuses on outreach, relationship-building, and pipeline management. You’ll be responsible for identifying potential partners, starting conversations, and turning those into meaningful, ongoing collaborations. ​ Benefits - Paid time off (PTO) - Paid U.S. holidays - Paid birthday leave - Parental leave - Monthly health stipend to support your well-being Why Join Us - 100% remote — work from home - Work closely with senior leadership and gain direct exposure - Be part of a collaborative, mission-driven team - Contribute to expanding access to mental health care through meaningful partnerships Key Responsibilities Outreach & Lead Generation - Research and identify potential partners (clinics, providers, healthcare organizations) - Conduct outreach through calls, emails, and platforms like LinkedIn - Initiate conversations and introduce Insight Therapy Solutions Partnership Development - Schedule and conduct discovery calls - Present our services and explore collaboration opportunities - Build and maintain strong, trust-based relationships with partners Pipeline & CRM Management - Maintain accurate and up-to-date CRM records - Track outreach activities, conversations, and follow-ups - Manage and organize a pipeline of opportunities Cross-Team Collaboration - Work closely with Marketing and leadership to align outreach efforts - Share feedback from conversations to help improve targeting and messaging What We’re Looking For - 2+ years of experience in sales, outreach, or business development (healthcare or telehealth experience is a plus) - Strong communication and relationship-building skills - Comfortable with consistent outreach and follow-ups - Organized and able to manage multiple conversations at once - Experience with CRM tools (or ability to learn quickly) - Self-driven and able to work independently in a remote environment Tools You’ll Use - CRM systems (e.g., Zoho or similar) - Google Workspace - Communication tools (email, calling platforms, LinkedIn) Work Hours - Full-time (40 hours a week) - Monday-Friday - 8 AM-5 PM Pacific Time (1 hour lunch break)

Philippines
Full TimeRemoteTeam 10,001+Since 1990H1B No Sponsor

Payment Associate ICON plc is a world-leading healthcare intelligence and clinical research organization. We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development We are currently seeking an Investigator Payment Specialist to join our diverse and dynamic team. As an Investigator Payment Associate at ICON, you will play a crucial role in facilitating investigator payments, ensuring compliance with regulations, and reviewing the financial aspects of clinical trials. What you will be doing: - Processing investigator payments accurately and timely according to study protocols. - Maintaining documentation and records related to investigator payments in compliance with regulatory requirements. - Discussing with internal teams to resolve payment discrepancies and address inquiries from investigators. - Assert the development and implementation of processes to streamline investigator payment procedures. - Assisting in the preparation of financial reports and analysis related to investigator payments. Your profile: - Bachelor’s degree in finance, Accounting, or related field. - 1-2 years of experience in finance or accounting roles, preferably in the pharmaceutical or clinical research industry. - Knowledge of regulatory requirements related to investigator payments (e.g., Sunshine Act, FMV). - Strong attention to detail and ability to work accurately in a fast-paced environment. - Proficiency in Microsoft Excel and financial software (e.g., SAP, Oracle). - Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams. What ICON can offer you: Our success depends on the quality of our people. That’s why we’ve made it a priority to build a diverse culture that rewards high performance and nurtures talent. In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family. Our benefits examples include: - Various annual leave entitlements - A range of health insurance offerings to suit you and your family’s needs. - Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead. - Global Employee Assistance Programme, TELUS Health, offering 24-hour access to a global network of over 80,000 independent specialised professionals who are there to support you and your family’s well-being. - Life assurance - Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidised travel passes, health assessments, among others. Visit our careers site to read more about the benefits ICON offers. At ICON, inclusion & belonging are fundamental to our culture and values. We’re dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here. Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless – there’s every chance you’re exactly what we’re looking for here at ICON whether it is for this or other roles. Are you a current ICON Employee? Please click here to apply

United States