Collections Specialist

Surgery Partners, Inc

Collections Specialist managing unpaid claims with a focus on timely adjudication and payer communications. Responsibilities include ensuring compliance with third-party regulations and optimizing accounts receivable workflow.

Posted 7/8/2026full-timeRemote • Tennessee • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in medical collections, including analyzing claims and understanding payer logic, while maintaining strong communication and organizational skills to foster positive relationships with payers and peers.

Highest-signal resume keywords

Medical Collections ExperienceClaim AnalysisKnowledge of CPT and HCPCsStrong Communication SkillsWorkflow Prioritization

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

Claim AdjudicationPayer Logic ExecutionBilling of Secondary InsurancesDenial Root Cause AnalysisDocumentation of Account Resolution

Soft Skills

Results OrientedAbility to Manage ChangePositive Relationship Building

Certifications & Qualifications

High School Diploma or Equivalent

Industry Keywords

Third-Party Payer RegulationsDays in ARPayer Trends and PatternsAudit Standards

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.
Communicates 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.
Ability to develop and maintain good communication and establish positive working relationships with payers, peers, and leadership.
Strong written and verbal communication skills.
Knowledge of medical terminology, CPT and HCPCs.
Proficient in analyzing claims to ensure reimbursement aligns with contractual obligations.
Ability to organize work and manage change.

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!