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Collections Coordinator – Accounts Receivable Specialist
Cardinal Health. Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical insurance claim processing, denial management, and compliance with HIPAA regulations. Proficient in utilizing billing software and analytical skills to resolve complex payer issues and enhance cash flow.
Highest-signal resume keywords
Medical Insurance Claim ProcessingDenial ManagementBilling Software ProficiencyHIPAA ComplianceAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim AnalysisAppeals ProcessingEOB AnalysisDenial ResolutionReimbursement GuidelinesCoding KnowledgeProductivity GoalsTime Management
Soft Skills
Verbal CommunicationWritten CommunicationDetail-OrientedProblem-SolvingIndependent Work
Tools & Technologies
AthenaG4 CentricityUnlimited FinancialsMicrosoft Office SuitePowerBICopilot
Industry Keywords
Medical OncologyMedicareMedicaidManaged CareInsurance PlansPayer Policies
About the role
Key responsibilities & impact- Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
- Contact insurance companies via phone, portals, or E-Mail to check claim status, request reprocessing or escalate issues.
- Analyze denials and underpayments to determine appropriate action, including appeals, corrections, and resubmissions.
- Track and follow up on all submitted appeals until resolution.
- Analyze explanation of benefits (EOBs) and remittance advice to determine reasons for denials or reduced payments.
- Document collection activities in the practice management/billing system according to departmental procedures.
- Follow up on unpaid claims within payer-specific guidelines and timelines.
- Coordinate with billing team members, coders, and providers to resolve claim discrepancies.
- Maintain current knowledge of payer policies, coding changes, and reimbursement guidelines.
- Ensure compliance with HIPAA and relevant federal/state billing regulations.
- Flag trends or recurring issues for team leads or supervisors.
- Meet daily/weekly productivity goals.
- Assist with special projects, audits, or other assigned duties.
- Utilize technology and resources to work assigned payers and denial work queues.
- Apply analytical and organizational skills to resolve complex payer issues, prioritize daily activities, identify trends, and increase cash flow.
Requirements
What you’ll need- 1-3 years of experience, preferred.
- High School Diploma, GED or equivalent work experience, preferred.
- Strong knowledge of medical insurance claim processing and denial management preferred.
- Medical Oncology/infusion experience is desired.
- Familiarity with Medicare, Medicaid, IPAs, commercial insurance plans, and managed care preferred.
- Proficiency in billing software (e.g. Athena, G4 Centricity, Unlimited Financials, etc.) and Microsoft Office Suite, PowerBI and Copilot experience desired.
- Excellent verbal and written communication skills.
- Ability to work independently and manage time effectively.
- Detail-oriented with strong analytical and problem-solving skills.
- Knowledge of HIPAA and relevant federal/state billing regulations.
Benefits
Comp & perks- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs