Accounts Receivable, Bankruptcy, Billing, Collection Agency, Communication Skills, Conflict Resolution, Credit and Collections, Customer Support/Service, Customer/Client Research, Detail Oriented, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Reimbursement, High School Diploma, IP Multimedia System (IMS), Insurance, Inventory Reports, Mail Processing, Medicaid, Medical Billing, Medical Records, Medicare, Past Due Accounts, Patient Care Denials, Patient Follow-up, Presentation/Verbal Skills, Quality Management, Quality Metrics, Regulations, Reimbursement, Resolve Customer Issues, Telephone Skills, Third-Party Payer, Time Management, Writing Skills
The Accounts Receivable & Collections Specialist is responsible for managing insurance and patient accounts receivable to ensure timely reimbursement and collection of outstanding balances. This position performs claim follow-up, denial resolution, patient collections, account research, and customer service activities to support timely reimbursement and account resolution. The specialist works collaboratively with patients, payers, providers, and internal departments to resolve account issues, reduce aging accounts, and support the organization’s revenue cycle goals.
This is a hybrid position requiring regular onsite attendance at the Corporate Business Office (CBO) to assist with incoming correspondence, payer communications, returned mail, and other revenue cycle support functions. Employees are expected to work onsite a minimum of two days per week and remotely on approved days in accordance with organizational policy.
Job Duties
Account Receivable Follow-Up/Patient Collections:
- Work assigned accounts receivable daily.
- Review and resolve unpaid, underpaid, denied, and aging claims
- Conduct follow-up with commercial payers, Medicare, Medicaid, and other third-party payers
- Submit corrected claims, reconsiderations, and supporting documentation as needed
- Research claim status and account issues
- Coordinate with coding, front office, and billing staff to resolve claim and account errors
- Process account adjustments, transfers, refunds, and corrections as authorized
- Monitor assigned AR inventory and aging reports to ensure timely account resolution
- Review, process, and distribute incoming payer and patient correspondence
- Assist with management of returned mail, bankruptcy notices, refund requests, medical records requests, and other revenue cycle correspondence received by the Corporate Business Office
- Review and respond to assigned billing-related Communicator cases and departmental work queues
- Document all account activity in the practice management system
- Assist with account audits and special projects as assigned
- Maintain productivity and quality standards established by the department
- Escalate complex payer issues as appropriate
- Contact patients regarding outstanding balances via phone, mail, and electronic communication
- Answer incoming patient calls and voicemails related to billing and account inquiries
- Assist patients with billing questions, payment concerns, and account resolution
- Explain insurance processing, patient responsibility, and account balances
- Establish payment arrangements in accordance with organizational policies
- Review accounts for financial assistance eligibility, discounts, bad debt, or collection agency placement when appropriate
- Document all patient collection efforts and account communications
- Maintain professionalism and excellent customer service during collection activities
- Perform other duties as assigned
Education/Required Experience:
- High School diploma or GED required
- Minimum 2 years of healthcare accounts receivable, collections, medical billing, or revenue cycle experience
- Experience with insurance claim follow-up and patient collections required
- Experience working patient correspondence, billing inquiries, Communicator cases, shared work queues, or Corporate Business Office functions preferred
- Experience with physician practice billing preferred
- Experience with Athena One or similar practice management systems preferred
- Experience working with Medicare, Medicaid, and commercial insurance plans preferred
- Ability to work a hybrid work schedule, including onsite attendance at the Corporate Business Office (CBO) a minimum of two days per week
- Knowledge of healthcare reimbursement methodologies and insurance processing
- Knowledge of patient collections practices and customer service principles
- Strong customer service and conflict resolution skills
- Excellent verbal and written communication skills
- Ability to interpret EOBs, payer correspondence, and insurance claim information
- Attention to detail and commitment to accuracy
- Ability to maintain confidentiality and comply with HIPAA regulations
Benefits of Working with IMS:
*You can look forward to a generous compensation package including medical, dental, vision, short-term and long-term disability, life insurance, paid time off and a very lucrative 401(k) plan.
*IMS is a tobacco-free work environment
IMS is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable Individuals to perform essential functions.
Joining IMS is more than saying "yes" to making the world a healthier place. It's discovering a career that's challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individuals' expression in the workplace and thrive on the innovative ideas this generates. Our hope is that each day you'll uncover a new reason to love what you do. If this sounds like the workplace for you, apply now!