Revenue Cycle Associate – Collections

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Logo of Quorum Health

Quorum Health

1001 - 5000 employees

Founded 2016

🏥 Healthcare

👥 B2C

Healthcare • B2C

Quorum Health is an operator of general acute care hospitals that owns or operates 12 hospitals across nine U. S. states. The company partners with local providers and subsidiaries to deliver inpatient and community-based healthcare services, focusing on quality, safety, and supporting local economies and workforce development. Quorum Health emphasizes community investment, hospital administration, and empowering local teams to provide patient-centered care.

📋 Description

• Perform hospital revenue cycle functions related to insurance accounts receivable, denial management, appeals, self-pay collections, correspondence processing, and other assigned revenue cycle activities • Research and resolve reimbursement issues while ensuring compliance with payer requirements and organizational policies • Perform collection activity to ensure proper resolution and reimbursement of claims • Research denials and write appeals where necessary • Resolve claim processing issues with third-party payers and provide required information in a timely manner • Work with patients to ensure timely resolution and maximize reimbursement • Understand payer guidelines for unpaid claim resolution and help patients understand their responsibility • Monitor and recognize reimbursement trends, recurring denials, or workflow issues and escalate concerns to leadership • Meet department productivity and quality minimum standards • Resubmit clean and accurate claims to insurance companies in a timely and compliant manner • Process payer and patient correspondence, including requests for additional information, reconsiderations, and other revenue cycle communications • Report to the RCM Manager

🎯 Requirements

• Must reside in Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, or Wyoming • High school graduate or equivalent • Minimum one year of experience working with hospital revenue cycle, patient financial services, or insurance accounts receivable • Working knowledge of Commercial, Medicare, Medicaid, and managed care billing and reimbursement • Knowledge of hospital revenue cycle workflows, reimbursement methodologies, and payer regulations • Highly detail oriented and organized with critical thinking and problem-solving skills • Ability to establish and maintain effective working relationships and communicate with customers, patients, and insurance companies • Strong customer service skills to de-escalate difficult calls and remain professional • Knowledgeable and proficient with payer websites and other useful resources • Ability to work independently within a remote structure with no distractions

🏖️ Benefits

• Competitive salary and benefits package • Opportunities for professional development and advancement • Supportive work environment with a collaborative team • Comprehensive healthcare coverage • Retirement savings plan • Paid time off and flexible scheduling options • Student loan repayment program

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