Collections Specialist

Surgery Partners, Inc

Collections Specialist ensuring timely claim adjudication and account resolution for medical claims. Researching unpaid claims, analyzing payer logic, and managing follow-up actions successfully.

Posted 5/19/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Research unpaid claims, determine denial root cause, and perform appropriate follow up actions to ensure timely claim adjudication.
Identify and take appropriate action for the billing of secondary or tertiary insurances.
Keeps informed on all current applicable third-party payer regulations and requirements.
Communicate payer trends and patterns to management.
Document within a patient’s record all actions taken related account resolution.
Review, comprehend and execute payer logic within negotiated contracts.
Prioritize workflow to reduce or eliminate bad debt flow resulting in a reduction in days in AR.
Meet and maintain productivity and audit standards.
Other duties as assigned by management.

Requirements

What you’ll need

High School Diploma or equivalent
2-3 years of medical collections experience preferred
Results oriented & thrives in a fast-paced, high-energy environment
Strong written and verbal communication skills
Knowledge of medical terminology, CPT and HCPCs
Proficient in analyzing claims to ensure reimbursement aligns with contractual obligations

Benefits

Comp & perks

Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical collectionsclaim adjudicationbillinganalyzing claimsCPTHCPCspayer logiccontractual obligations

Soft Skills

results orientedcommunication skillsprioritizationworkflow management

Certifications

High School Diploma