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
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