The Revenue Cycle Collections Specialist is responsible for the proactive management, follow-up, and resolution of outstanding insurance accounts receivable to maximize reimbursement and minimize aging balances.
This role focuses on researching unpaid, underpaid, and denied claims, engaging insurance payers to secure appropriate reimbursement, and resolving outstanding balances in a timely manner.
The position works closely with revenue cycle leadership, billing specialists, and clinical personnel to improve claim resolution, reduce aged receivables, and support overall revenue cycle performance.
Location: Johnson City, TN (on-site)
Department: Revenue Cycle Management (RCM)
Reports To: Revenue Cycle Manager
Required Qualifications
- High school diploma or equivalent required; associate degree preferred
- Minimum 2 years of medical insurance collections, accounts receivable, or denial management experience preferred
- Strong understanding of Medicare, Medicaid, and commercial insurance reimbursement
- Experience with claim status research, denial resolution, appeals, and payer follow-up
- Working knowledge of CPT, ICD-10-CM, insurance terminology, and explanation of benefits (EOB) documentation
- Proficiency with EHR/practice management systems, payer portals, and Microsoft Excel
- Strong communication, negotiation, organizational, and problem-solving skills
Preferred Qualifications
- Experience with Athenahealth or comparable practice management platforms
- Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or similar credential
- Experience managing complex or aged insurance receivables
- Familiarity with payer contracts, fee schedules, and reimbursement variance analysis
- Experience in a multispecialty or multi-location physician practice
Medical, Vision, Dental, PTO, 401K, and weekends off.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago