Medical Collections Lead

BrightSpring Health Services

. Ensure daily accomplishments work toward company cash-collection goals, including accurately working all AR over 60 days and denied claims within 7 days of posted denial .

Posted 11/10/2026full-timeEnglewood • Colorado • United StatesSenior💰 $22 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical collections, including knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement. Proficient in automated billing systems and compliance with HIPAA and PHI guidelines.

Highest-signal resume keywords

Medical Collections ExperienceKnowledge Of Managed CareAutomated Billing Systems ProficiencyICD-9, CPT And HCPCS CodingStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts Receivable ManagementDenial ResolutionPayment PostingBilling AccuracyMetric MeasurementsBasic Accounting PracticesTyping 40 WPM10-Key Calculator ProficiencyQA AuditsPayment Discrepancy Identification

Soft Skills

Strong Verbal CommunicationStrong Written CommunicationAbility To Work IndependentlyProfessional Customer InteractionTraining Coordination

Tools & Technologies

CPR+Microsoft OfficeElectronic Billing SolutionsPayer WebsitesAutomated Billing Systems

Certifications & Qualifications

High School Diploma/GEDHIPAA Compliance Knowledge

Industry Keywords

Medical BillingInsurance RemittancePatient PrivacyEthical Billing PracticesHome Infusion Experience

About the role

Key responsibilities & impact

Ensure daily accomplishments work toward company cash-collection goals, including accurately working all AR over 60 days and denied claims within 7 days of posted denial
Assist with collections through AR analysis and denial resolution
Assist with receiving, batching, posting, balancing and archiving payments and adjustments to accounts receivable
Ensure compliance with company criteria for billing and collections timeliness and accuracy
Research denials and outstanding balances and take necessary collection action
Make demographic changes to patient accounts to support future collections
Secure timely payment of open claims or invoices using efficient resources, prioritizing electronic solutions
Review insurance remittance advices, identify billing errors and payment discrepancies, and communicate needed system changes
Review residual account balances and generate adjustments, overpayment notifications, refund requests and secondary billing as needed
Monitor payer websites and recommend billing-procedure changes
Review and post adjustments within the eligible range of $499.00 and under
Identify inefficient processes and recommend automation or elimination
Identify denial, short-payment, overpayment and non-payment trends and escalate them to appropriate specialists
Perform QA audits for A/R management and collector performance
Contact payers to obtain missing remittance documents
Monitor adherence to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
Assist in implementing training programs and coordinate and conduct training for new staff
Assist with competency testing for training materials
Interact with third-party collection agencies as needed
Communicate clearly and professionally with internal and external customers
Perform other tasks or special projects as requested by management

Requirements

What you’ll need

High School Diploma/GED or equivalent required; some college a plus
A minimum of one (1) year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Working knowledge of automated billing systems; experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills required, including Word, Excel and Outlook
Ability to type 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills
Must understand and adhere to HIPAA and PHI guidelines
Available to work extended hours when necessary to meet department deadlines

Benefits

Comp & perks

Medical, Dental, Vision insurance
Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
Tuition discounts & reimbursement
401(k)
Company Paid Time Off*
Shift Differential
DailyPay
Pet Insurance
Employee wellness and discount programs