Senior Collections Associate
Pennsylvania Staffing - Phila, Pennsylvania, United States, 19117
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Overview
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Overview
We are looking for an experienced Senior Collections Associate to join our team in the Greater Philadelphia Region. As part of this long-term contract position, you will play a key role in resolving patient accounts efficiently and ensuring timely follow-up on claims, payments, and denials. As a Senior Collections Associate, this role requires someone who is highly attentive to detail and capable of working independently or collaboratively to support effective revenue cycle management. What you get to do every single day: Investigate patient account balances and take appropriate actions to resolve outstanding issues. Submit accurate claims to insurance carriers in accordance with established guidelines and procedures. Analyze denied or underpaid claims, identify reasons for denials, and take steps to resolve them, including filing appeals when necessary. Utilize payer portals, remittance documents, and direct communication with payers to address account discrepancies. Document all collection activities thoroughly in the patient accounting system, ensuring accuracy and completeness. Recognize patterns in payment delays or denials and escalate issues to management as needed. Coordinate with other departments, including Case Management, Medical Records, Billing, and Coding, to address account-specific concerns. Prioritize work assignments based on departmental needs and leadership directives. Assist in gathering medical records and other necessary documentation to resolve claims and appeals. Suggest and implement ideas for improving processes and overall performance. Requirements Other requirements for the Senior Collections Associate position include and are not limited to: Proven experience in collections, billing, and insurance claim management within the healthcare industry. Strong understanding of payer rules, contracts, and coordination of benefits. Proficiency in using payer portals, remittance tools, and electronic systems for account resolution. Ability to analyze and resolve account discrepancies using critical thinking and knowledge of medical codes (CPT, ICD-10). Excellent written and verbal communication skills for documenting actions and interacting with payers and team members. Familiarity with adjustments, appeals, and denial resolution processes. Capability to work independently while also contributing effectively to team projects. Strong organizational skills to prioritize tasks and meet deadlines efficiently. Interested candidates should reach out to Matthew Burns at 215.568.4580 and reference JO#03720-0013270238