Collections Specialist

Coral Connect

Collections Specialist managing pharmacy and infusion accounts receivable for Coral Connect, a healthcare cost-optimization provider. Resolving claims, denials, appeals, and payer reimbursement issues.

Posted 8/4/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing accounts receivable for pharmacy and infusion services, with a strong focus on denial management, appeals processes, and compliance with payer guidelines. Proficient in utilizing EHR systems and analytical tools to optimize reimbursement and resolve billing discrepancies.

Highest-signal resume keywords

Medical Collections ExperienceInfusion Billing KnowledgeEHR/Practice Management SystemsDenial Management ExpertiseStrong Analytical Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Accounts Receivable ManagementClaim ResolutionBilling Error InvestigationAppeals SubmissionReimbursement OptimizationHCPCS/J-Codes KnowledgeData AnalysisReporting ProficiencyPayer Guidelines UnderstandingTimely Filing Management

Soft Skills

Excellent CommunicationNegotiation AbilitiesAttention to DetailProblem-Solving SkillsTeam Collaboration

Tools & Technologies

WeInfuseCareTendBrightreeMicrosoft ExcelReporting Tools

Industry Keywords

Pharmacy ServicesInfusion ServicesClaims ProcessingHIPAA CompliancePatient Account Management

About the role

Key responsibilities & impact

Manage and follow up on assigned accounts receivable for pharmacy and AIC infusion services
Work denied, rejected, and underpaid claims to ensure maximum reimbursement
Contact insurance payers to resolve claim issues, verify claim status, and secure payment
Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to identify discrepancies
Investigate and resolve billing errors, coding issues, and authorization-related denials
Submit appeals and supporting documentation as needed
Monitor aging reports and prioritize accounts based on timely filing limits and reimbursement impact
Collaborate with billing, coding, intake, and clinical teams to resolve claim issues
Identify trends in denials or payer behavior and escalate systemic issues
Maintain accurate documentation of all collection activities in the system
Ensure compliance with payer requirements, HIPAA regulations, and company policies
Assist with patient account inquiries, including balance questions and payment arrangements as applicable
Support month-end reporting and AR reconciliation activities

Requirements

What you’ll need

High school diploma or equivalent required
1–2 years of experience in medical collections; specialty pharmacy or infusion services preferred
Knowledge of infusion billing, specialty drug reimbursement, and HCPCS/J-codes preferred
Strong understanding of payer guidelines, appeals processes, and denial management
Experience with EHR/Practice Management systems such as WeInfuse, CareTend, Brightree, or similar
Proficiency in Microsoft Excel and reporting tools
Strong analytical and problem-solving skills
Excellent communication and negotiation abilities
Attention to detail and accuracy
Ability to manage a high-volume workload and meet deadlines
Critical thinking and persistence in resolving complex claims
Team-oriented with the ability to work independently
Bachelor's degree or relevant experience preferred
License requirement: N/A

Benefits

Comp & perks

Health
Dental
Vision
Life
401k
Paid Time Off