Collections Specialist

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🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

📞 Collections

🚫👨‍🎓 No degree required

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Coral Connect

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2021

🤲 Charity

🌍 Social Impact

Charity • Social Impact

Coral Connect is an innovative platform that connects donors to coral reef conservation efforts. It showcases the growth, health, and progress of each charitable impact, increasing transparency and donor engagement around reef restoration and protection.

📋 Description

• Manage and follow up on assigned accounts receivable for pharmacy and AIC infusion services • Work denied, rejected, and underpaid claims to ensure maximum reimbursement • Contact insurance payers to resolve claim issues, verify claim status, and secure payment • Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to identify discrepancies • Investigate and resolve billing errors, coding issues, and authorization-related denials • Submit appeals and supporting documentation as needed • Monitor aging reports and prioritize accounts based on timely filing limits and reimbursement impact • Collaborate with billing, coding, intake, and clinical teams to resolve claim issues • Identify trends in denials or payer behavior and escalate systemic issues • Maintain accurate documentation of all collection activities in the system • Ensure compliance with payer requirements, HIPAA regulations, and company policies • Assist with patient account inquiries, including balance questions and payment arrangements as applicable • Support month-end reporting and AR reconciliation activities

🎯 Requirements

• High school diploma or equivalent required • 1–2 years of experience in medical collections; specialty pharmacy or infusion services preferred • Knowledge of infusion billing, specialty drug reimbursement, and HCPCS/J-codes preferred • Strong understanding of payer guidelines, appeals processes, and denial management • Experience with EHR/Practice Management systems such as WeInfuse, CareTend, Brightree, or similar • Proficiency in Microsoft Excel and reporting tools • Strong analytical and problem-solving skills • Excellent communication and negotiation abilities • Attention to detail and accuracy • Ability to manage a high-volume workload and meet deadlines • Critical thinking and persistence in resolving complex claims • Team-oriented with the ability to work independently • Bachelor's degree or relevant experience preferred • License requirement: N/A

🏖️ Benefits

• Health • Dental • Vision • Life • 401k • Paid Time Off