Join Synergy’s dynamic collections team as a Collections Coordinator! We're looking for a sharp, results-driven individual to actively manage our outstanding accounts and secure vital payments. Your commitment to detail and effective follow-up will directly impact our agency’s ability to provide continuous patient care.

About the Role

The Collections Coordinator is responsible for performing all collections functions after claims have been submitted and processed. This role involves proactive follow-up with payers, meticulous denial management, and accurate account reconciliation to maintain a healthy accounts receivable (AR).

Key Responsibilities

• Payer Follow-up: Execute targeted follow-up on outstanding accounts with Medicare, Medicaid, and commercial carriers based on AR aging reports to facilitate timely payment.
• Denial Management: Thoroughly research the cause of payment denials (e.g., lack of authorization, documentation errors, untimely filing) and execute the necessary steps for resolution, correction, and resubmission or appeal.
• Appeals Processing: Prepare and submit formal appeals for denied claims, gathering required documentation (clinical and administrative) to overturn the payer's initial decision.
• Payment Reconciliation: Accurately reconcile posted payments with expected reimbursement, identifying discrepancies and contractual short-pays that require further follow-up.
• Self-Pay Collections: Manage the patient portion of collections, including generating and mailing statements, and communicating with patients regarding payment plans in a professional and compliant manner.
• Documentation: Document all collection activities, communications with payers, and status updates on the patient's account within the EMR system clearly and accurately.
• Trend Identification: Report on common denial codes and collection roadblocks to the Billing Lead or Director of RCM to help identify and resolve upstream process issues.

Qualifications

Required:

• Minimum of 1 year of experience in medical collections, accounts receivable follow-up, or denial appeals, with experience in Home Health or Hospice preferred.
• Solid working knowledge of reading and interpreting EOBs (Explanation of Benefits), RAs (Remittance Advices), and payer correspondence.
• Proven ability to submit claims and track payment status through payer portals and a dedicated EMR system.
• Familiarity with the Medicare appeals process (e.g., Redetermination).

Skills and Competencies

• Exceptional detail orientation and analytical skills for denial research.
• Strong organizational skills and the ability to manage a large backlog of accounts.
• Excellent verbal and written communication skills for persistent yet professional payer interaction.
• Highly motivated, persistent, and results-oriented to meet collection goals.
• Commitment to compliance and ethical collection practices.

If you are a resourceful coordinator ready to take on the challenge of optimizing our cash flow, apply to be our Collections Coordinator today!