Collections Representative

This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind: Caring. Connecting. Growing together.

The Collections Representative is part of the Patient Financial Services AR Recovery Team and is responsible for resolving outstanding payer balances in accordance with regulatory and contractual obligations. The critical tasks of this position include resolving payer denials by way of understanding payer policies, contacting the payer, appealing, or resubmitting the claim. Critical tasks also include understanding and reconciling the open-payer balances in accordance with a payor's contract.

This position is full time (40hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be during normal business hours.

Primary Responsibilities:

• Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements
• Work closely by way of problem solving with peers and leaders to address payer issues or changes that directly impact the accounts receivable
• Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with payer regulations and the department's policy and procedures
• Take necessary AR adjustments in accordance with the department's adjustment policy
• Meet or exceed the Northern Light Health performance standards as it relates to quality and productivity
• Request relevant information from appropriate revenue cycle and clinical departments as required by payer
• Ensure assigned discharged and final billed accounts are not aging and are escalated timely
• Thoroughly understand the department's key performance indicators
• Maintain the knowledge of payer policies; complete AAHAM or other healthcare related webinars
• Other duties as assigned