Collections Specialist I - HMO/PPO (Remote) jobs in United States
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Tennova Healthcare- North Knoxville Medical Center · 4 hours ago

Collections Specialist I - HMO/PPO (Remote)

Tennova Healthcare - North Knoxville Medical Center is part of Community Health Systems, one of the nation’s leading healthcare providers. The Collections Specialist I - HMO/PPO is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with regulations to support revenue cycle operations.

Hospital & Health Care

Responsibilities

Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation
Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process
Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication
Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information
Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts
Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances
Ensures proper application of account dispositions and follows self-pay policies and procedures
Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards
Performs other duties as assigned
Maintains regular and reliable attendance
Complies with all policies and standards

Qualification

Medical collections processesPayer reimbursement policiesInsurance claim resolutionElectronic medical record systemsCollections softwareRegulatory compliance knowledgeProblem-solving skillsAttention to detailEffective communication skillsWork independently

Required

H.S. Diploma or GED required
0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required

Preferred

Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred
Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred

Benefits

Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy.
Future Security: 401(k) with matching
Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future.
Educational Tuition Assistance
Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication.
Paid Time Off

Company

Tennova Healthcare- North Knoxville Medical Center

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North Knoxville Medical Center is an acute care hospital.

Funding

Current Stage
Late Stage

Leadership Team

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Bill Rich
Chief Executive Officer
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Company data provided by crunchbase