Senior Revenue Cycle Associate – Collections

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🔥 0 minutes ago

🏄 California, Kentucky, +8 more states – Remote

🏄 California – Remote 🐎 Kentucky – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🦬 Wyoming – Remote

⏰ Full Time

🟠 Senior

📞 Collections

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Quorum Health

WebsiteLinkedInAll Job Openings

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

• Serve as a subject matter expert for assigned revenue cycle functions • Research and resolve complex accounts and payer issues • Provide day-to-day functional guidance and technical support to staff • Assist with onboarding, cross-training, and mentoring team members • Perform quality assurance reviews and provide constructive feedback • Perform collection activity to resolve claims and maximize reimbursement • Research denials and write appeals • Resolve claim processing issues with third-party payers and work with patients on timely resolution • Explain payer guidelines and patient responsibility • Monitor reimbursement trends, recurring denials, and workflow issues and escalate concerns • Meet departmental productivity and quality standards • Resubmit clean and accurate claims to insurance companies • Process payer and patient correspondence, including additional-information requests and reconsiderations • Maintain accurate, complete, and timely account documentation in the patient accounting system • Maintain confidentiality and adhere to HIPAA guidelines and corporate and department policies

🎯 Requirements

• Must reside in Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, or Wyoming • Demonstrated expertise in insurance collections, denial management, reimbursement methodologies, and appeals • Ability to analyze complex reimbursement issues and recommend resolutions • 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 • Knowledge of and proficiency with payer websites and other useful resources • Ability to work independently within a remote structure with no distractions • High school graduate or equivalent • Minimum five years of experience working with hospital revenue cycle, patient financial services, or insurance accounts receivable • Comprehensive knowledge of payer regulations, reimbursement guidelines, and revenue cycle best practices • Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations

🏖️ 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