Tandym Group has multiple immediate and exclusive opportunities for experienced A/R Collections Specialists supporting a client in Georgia. These contracts will be 100% remote.
This role will focus primarily on accounts receivable follow up and collections, with some billing responsibilities as needed. The A/R Collections Specialists will work on a combination of commercial and government payers to resolve outstanding claims from initial follow up through final resolution.
Responsibilities:
• Perform A/R follow-up and collections on outstanding hospital accounts
• Research, resolve, and appeal claim denials through full lifecycle resolution
• Submit and track appeals until payment or final determination
• Work both commercial and government payer accounts
• Maintain productivity expectations of at least 40+ collectible accounts per day (may vary by assignment)
• Prioritize and manage work queues efficiently while meeting quality and productivity metrics
• Communicate directly with insurance carriers to resolve outstanding claims
• Utilize multiple EMR/RCM systems, including CPSI/TrueBridge
Required Experience
• 5+ years of healthcare A/R and/or patient financial services experience
• Experience using CPSI/TrueBridge
• Strong background in:
A/R Follow-Up & Claims Collections
• Denial Management (full lifecycle resolution)
• Appeals creation, submission and follow-up
• Hospital (inpatient) collections experience
• Experience working multiple EMR/RCM systems
• Experience with both commercial and government payers
• Comfortable making outbound calls to insurance companies to resolve claims
• Proven ability to manage work queues and consistently meet productivity goals
• Metrics-driven with a demonstrated ability to resolve 40-60 collectible accounts per day
• Strong customer service and communication skills
Preferred Experience
• Experience with Georgia hospital collections
• Previous lead or training experience
• Experience with higher-balance specialties such as Pain Management, ENT and Podiatry
• Professional Method II billing experience