Compliance Manager providing compliance advisory support for loan collections. Managing compliance risk, policy reviews, and ensuring regulatory excellence across multiple states.
CT
Hybrid Medical Collections Representative, VBC
Posted 2 months ago
About the role
- Manage and resolve complex accounts receivable (A/R) within value-based care
- Reconcile, research, and manage assigned accounts to meet aging targets and drive timely payments
- Complete Value-Based Reimbursement processes accurately and on time
- Analyze and resolve assigned claims promptly
- Communicate with carriers, physician offices, patients, and management to ensure smooth claims resolution
- Verify and update insurance benefits
- Process adjustments and post payments accurately
- Appeal claims when needed
- Obtain medical records and supporting documents to help secure timely and complete claims payment
- Work closely with internal teams, outside agencies, vendors, and clients to maintain strong A/R performance
- Contribute to process improvements and develop technical expertise as part of a collaborative team
Requirements
- Minimum of 2 years in medical collections or value-based care accounts
- Strong analytical ability to review and interpret both patient accounts and payer Explanation of Benefit (EOB) responses
- Solid understanding of managed care, contract terms, and medical terminology
- Open-minded, eager to learn, adapt, and take on new challenges
- Self-motivated and able to take ownership of tasks, prioritize effectively, and drive results
- Exceptional verbal and written communication skills
- Ability to work with both internal and external customers in a supportive team atmosphere
- Demonstrated proficiency with MS Word, Outlook, and Excel, as well as any EHR
- Highly organized with the ability to multitask, manage competing priorities, and meet tight deadlines consistently
- Thrive under pressure in a fast-paced environment while maintaining accuracy and professionalism
- Preferences – Not Required: Associate or Bachelor’s degree
- Preferences – Not Required: Specialty Care collections experience, especially cardiologic care
- Preferences – Not Required: Currently has Certified Professional Coder (CPC) certification
Benefits
- Flexible Work Life: Enjoy our hybrid remote schedule, which offers flexibility to balance your work productivity and dynamic personal life.
- Comprehensive medical, dental, and vision coverage
- FSA/HSA options
- 4% 401(k) matching
- Tuition assistance
- Generous paid time off
- Exclusive employee discounts
- Rewarding culture with a high-performing, supportive team
- Continuous Learning: professional development, training, and mentorship
- Ongoing training that builds professional, technical, and management skills
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
CE
Analyst in credit and collection ensuring efficient financial processes at Cogna. Collaborating with teams for system improvements and providing support for integrations.
GG
Genesis GroupAnalista de Cobrança, Relacionamento com Cliente
Analista de cobrança at Genesis Group focusing on client invoice approval cycles and relationship management. Involves credit recovery actions and monitoring accounts receivable processes.
HI
Hubbell IncorporatedAnalista de Cobranza
Analyst responsible for management of company accounts receivable ensuring timely payments. Involves client account reconciliation, collections, and reporting tasks.
RG
Royal Caribbean GroupAccount Collections Coordinator
Coordinate credit card collections for cruise reservations and chargebacks at cruise line. Working with travel agents and passengers, maintaining organized case files and responding to credit card companies.
ME
MeltwaterCollections Analyst
Collections Analyst managing and enhancing accounts receivable processes at Meltwater. Collaborating with teams to ensure prompt collection of debts and minimize losses while supporting customer relationships.
Provide billing and collections support for Stuart's France operations. Work in a hybrid model with a strong focus on customer invoicing and debt management.
KE
ITC Sr. Team Lead - Collections overseeing daily work priorities and Accounts Receivable issues. Ensuring compliance and improving team efficiency in a hybrid work model.
LO
LogitradeDebt Recovery Officer
Chargé de recouvrement pour Logitrade gérant un portefeuille de grands comptes. Assurant le recouvrement de créances et optimisant les délais de paiement.
UL
Collections Team Lead managing and developing accounts receivable team at Uline. Overseeing customer service and payment collection strategies in a growing North American company.