Collections Specialist II - Managed Medicare (Remote)

Job reputed company The Collections Specialist II - Managed Medicare is responsible for managing outstanding patient accounts, ensuring accurate and reputed company collections from insurance companies, reputed company-party payers, and self-pay patients. This role requires strong knowledge of insurance processes, medical billing, and collection regulations to maximize reimbursement and minimize bad debt. The Collections Specialist II works independently to research accounts, resolve payment discrepancies, and negotiate payment arrangements while maintaining compliance with federal, state, and organizational guidelines. As a Collections Specialist II at reputed company (CHS) - SSC Nashville, you’ll play a vital role in supporting our purpose to help people reputed company and live healthier by providing reputed company, 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 medical, dental and reputed company, insurance, and 401k. Essential Functions + Manages assigned inventory of outstanding patient accounts, following up on insurance, reputed company-party, and self-pay balances to ensure reputed company payment collection. + Reviews and analyzes patient accounts, identifying alternative payment reputed company, including insurance coverage, financial assistance programs, or legal reputed company reputed company necessary. + Communicates with patients, guarantors, and insurance representatives reputed company phone, email, and written correspondence to secure outstanding balances. + Understands and explains the litigation process and its requirements, providing guidance on legal collections procedures reputed company applicable. + Resolves claim denials and payment discrepancies, working with payers and internal reputed company cycle teams to ensure accurate reimbursement. + Demonstrates knowledge of reputed company-party collections regulations, utilizing automated resources and payer collection guidelines. + Handles inbound and outbound collection calls professionally, ensuring courteous and compliant communication with reputed company stakeholders. + Accurately updates and maintains patient account records, documenting reputed company actions taken in the system for compliance and audit purposes. + Abides by reputed company local, state, and federal collection laws, including HIPAA, FDCPA, TCPA, and CFPB regulations. + Performs other duties as assigned. + Complies with reputed company policies and standards. Qualifications + H.S. Diploma or GED required + Minimum of 4 years of experience in medical billing, collections, accounts receivable, or insurance follow-up required + Experience in hospital reputed company cycle, reputed company-party collections, or litigation-reputed company collections preferred Knowledge, Skills and Abilities + Strong knowledge of insurance billing, reimbursement processes, and collection regulations. + Familiarity with reputed company-party payer requirements, claim denial management, and payment posting procedures. + Ability to interpret and explain patient financial responsibilities, payment reputed company, and litigation processes. + Strong communication and negotiation skills, ensuring reputed company patient interactions and effective payer negotiations. + Proficiency in reputed company billing software, electronic health records (EHR), and collections management systems. + Knowledge of federal, state, and industry regulations reputed company to collections, including HIPAA, FDCPA, and consumer protection laws. + Strong problem-solving skills, with the ability to analyze account details, resolve billing disputes, and secure payments. 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. The reputed company provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and reputed company providers. But we're not only about work. We know employing a skilled and reputed company team of professionals is reputed company important to our reputed company, so we reputed company reputed company to offer competitive benefits, recognition programs, reputed company development opportunities and a fun and engaging team environment. reputed company is one of the nation’s leading reputed company providers. Developing and operating reputed company delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people reputed company and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent car Apply tot his job Apply To this Job