Collections Analyst
Addison Group, Silver Spring, MD, United States
Overview
A leading healthcare organization is expanding its internal dialysis services and is seeking a Program Coordinator to support billing and collections operations. This position will play a key role in managing complex accounts, ensuring accurate reimbursement, and supporting overall revenue cycle performance for dialysis services.
Responsibilities
Generate and submit claims for dialysis-related services, including hemodialysis, peritoneal dialysis, and home-based treatments
Monitor claim status and perform follow-ups on unpaid or underpaid claims
Handle rebilling, secondary billing, and claim corrections as needed
Investigate and appeal denied claims, ensuring timely resolution
Maintain compliance with current healthcare billing regulations and payer requirements
Collections & Accounts Receivable
Manage a portfolio of 50+ accounts, including high-dollar outpatient balances
Conduct collections activities via payer portals and phone outreach
Reconcile accounts and ensure accurate posting of charges and payments
Identify and resolve discrepancies in billing and reimbursement
Insurance & Reimbursement
Work closely with government and commercial payers, including Medicare and Medicaid
Interpret payer policies and reimbursement guidelines
Support insurance verification and authorization processes
Reporting & Process Improvement
Analyze billing data and identify trends impacting reimbursement
Assist with development and maintenance of standard operating procedures (SOPs)
Support updates to billing workflows based on regulatory or policy changes
Qualifications
Required:
3–5 years of experience in hospital-based billing and collections
Strong understanding of the full revenue cycle and high-complexity collections
Experience working with government payers (Medicare/Medicaid)
Familiarity with UB-04 billing and outpatient account management
Ability to manage high-volume workloads with strong attention to detail
Preferred:
Experience with dialysis billing or specialty healthcare services
Exposure to electronic health record systems (e.g., Cerner, Epic)
Experience working within payer portals and patient account systems
Initial onsite training period (approximately 1–3 months, depending on ramp-up)
Hybrid schedule after training with partial in-office requirements (1 day per week in-office / 4 days remote)
Flexible scheduling available post-training (early morning to evening shifts)
Interview Process
Initial phone screening
Panel interview with cross-functional team members
Final steps include formal application and standard onboarding process
Additional Information
Comprehensive background screening and health clearance required prior to start
Structured onboarding timeline; start dates aligned with organizational scheduling
#J-18808-Ljbffr
A leading healthcare organization is expanding its internal dialysis services and is seeking a Program Coordinator to support billing and collections operations. This position will play a key role in managing complex accounts, ensuring accurate reimbursement, and supporting overall revenue cycle performance for dialysis services.
Responsibilities
Generate and submit claims for dialysis-related services, including hemodialysis, peritoneal dialysis, and home-based treatments
Monitor claim status and perform follow-ups on unpaid or underpaid claims
Handle rebilling, secondary billing, and claim corrections as needed
Investigate and appeal denied claims, ensuring timely resolution
Maintain compliance with current healthcare billing regulations and payer requirements
Collections & Accounts Receivable
Manage a portfolio of 50+ accounts, including high-dollar outpatient balances
Conduct collections activities via payer portals and phone outreach
Reconcile accounts and ensure accurate posting of charges and payments
Identify and resolve discrepancies in billing and reimbursement
Insurance & Reimbursement
Work closely with government and commercial payers, including Medicare and Medicaid
Interpret payer policies and reimbursement guidelines
Support insurance verification and authorization processes
Reporting & Process Improvement
Analyze billing data and identify trends impacting reimbursement
Assist with development and maintenance of standard operating procedures (SOPs)
Support updates to billing workflows based on regulatory or policy changes
Qualifications
Required:
3–5 years of experience in hospital-based billing and collections
Strong understanding of the full revenue cycle and high-complexity collections
Experience working with government payers (Medicare/Medicaid)
Familiarity with UB-04 billing and outpatient account management
Ability to manage high-volume workloads with strong attention to detail
Preferred:
Experience with dialysis billing or specialty healthcare services
Exposure to electronic health record systems (e.g., Cerner, Epic)
Experience working within payer portals and patient account systems
Initial onsite training period (approximately 1–3 months, depending on ramp-up)
Hybrid schedule after training with partial in-office requirements (1 day per week in-office / 4 days remote)
Flexible scheduling available post-training (early morning to evening shifts)
Interview Process
Initial phone screening
Panel interview with cross-functional team members
Final steps include formal application and standard onboarding process
Additional Information
Comprehensive background screening and health clearance required prior to start
Structured onboarding timeline; start dates aligned with organizational scheduling
#J-18808-Ljbffr