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Tennova Healthcare- North Knoxville Medical Center · 1 day ago

Underpayment & Overpayment Collector – Healthcare (REMOTE

United States

Full-time

Remote

Entry Level

1+ years exp

Tennova Healthcare- North Knoxville Medical Center is a part of Community Health Systems, one of the nation’s leading healthcare providers. The Underpayment & Overpayment Collector is responsible for managing account follow-up, analyzing trends, and ensuring accurate reconciliation of account balances to optimize revenue cycle processes.

Hospital & Health Care

Responsibilities

Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution

Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms

Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies

Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements

Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance

Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management

Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections

Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures

Performs other duties as assigned

Complies with all policies and standards

Qualification

Healthcare collections experienceRevenue cycle managementPayer contracts knowledgeHealthcare billing softwareAnalytical skillsMicrosoft OfficeGoogle SuiteEffective communicationNegotiation skillsAttention to detailProblem-solving skillsWork independently