Collections Associate

Job not on LinkedIn

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $33 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Collections

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Noctrix Health, Inc.

Noctrix Health, Inc.

11 - 50 employees

Founded 2018

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

Noctrix Health, Inc. is a pioneering company focused on developing next-generation, clinically validated wearable therapeutics aimed at managing chronic neurological disorders. With a mission to address the unmet needs of individuals living with such conditions, Noctrix combines expertise from seasoned medical device experts, neuroscientists, and engineers to deliver innovative therapies that enhance user experience. The company's flagship product, Nidra, has received FDA Breakthrough Device Designation and is designed for conditions like Restless Legs Syndrome, representing a promising advancement in wearable health technology.

📋 Description

• Follow up on unpaid and aging insurance claims with payers by phone and electronically • Review and analyze claim issues, rejections, denials, and outstanding balances to determine appropriate resolution steps • Submit and resubmit claims and supporting documentation to payers as required • Review payments and Explanations of Benefits (EOBs) and determine next steps for denied or unresolved claims, including appeals, resubmissions, additional documentation, or patient billing • Prepare and submit claim appeals and supporting documentation in accordance with payer requirements • Investigate payer underpayments and discrepancies and follow through to resolution • Post payments and accurately enter EOB information into the billing system • Verify and maintain accurate patient, insurance, payer, and claim information within billing and CRM systems • Prepare and distribute patient billing statements • Communicate with patients regarding outstanding balances, financial responsibilities, and available payment options • Establish reasonable payment arrangements with patients in accordance with company policies • Process patient payments, refunds, and adjustments accurately and in accordance with established procedures • Respond to patient and provider inquiries regarding billing statements, insurance claims, payment status, and outstanding balances • Maintain accurate and complete documentation of collection activities, payer communications, payments, claim status, and correspondence • Generate and support accounts receivable (AR) and aging reports and assist with broader revenue cycle management activities • Partner with Finance and internal stakeholders regarding patient orders, claims status, and outstanding balances • Independently manage assigned collections activity while meeting productivity, accuracy, and follow-up expectations • Identify recurring denial, payment, or collections issues and escalate trends or process-improvement opportunities • Maintain compliance with HIPAA, applicable billing regulations, payer requirements, and company policies

🎯 Requirements

• 1–3 years of experience in medical billing, collections, claims, insurance processing, revenue cycle management, or a related healthcare function • Familiarity with medical insurance claim submission and resubmission, denials, appeals, and reimbursement processes • Experience reviewing EOBs and identifying appropriate next steps for unpaid, denied, rejected, or underpaid claims • Knowledge of medical terminology and health insurance terminology • Experience communicating directly with insurance payers regarding outstanding claims and reimbursement issues • Experience in a patient support, customer service, or customer care environment • Ability to communicate professionally and empathetically with patients regarding financial responsibilities and outstanding balances • Strong attention to detail and ability to maintain accurate billing and collections documentation • Ability to independently investigate issues, determine appropriate next steps, and follow claims through resolution • Strong organizational skills with the ability to manage multiple claims, deadlines, and priorities in a fast-paced environment • Strong written and verbal communication skills • Ability to effectively de-escalate and resolve difficult patient or payer interactions • Ability to collaborate effectively with a remote and cross-functional team • Preferred: Experience with UnitedHealthcare, Aetna, and/or Blue Cross Blue Shield reimbursement and claims • Preferred: Experience working with DME, medical device, or other healthcare reimbursement • Preferred: Experience preparing and submitting insurance appeals • Preferred: Experience investigating payer underpayments • Preferred: Experience with AR aging and revenue cycle reporting • Preferred: Familiarity with NikoHealth, Salesforce, Microsoft applications, or similar CRM and medical billing systems • Preferred: Experience working within a startup, high-growth, or rapidly changing healthcare environment

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