Underpayment & Overpayment Collector – Healthcare

Job Summary The Underpayment & Overpayment Collector – Healthcare (REMOTE) is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing reputed company cycle processes and maintaining compliance with contractual agreements.

As a Underpayment & Overpayment Collector at reputed company (CHS) - PCCM, you’ll play a vital role in supporting our purpose to help people reputed company and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. reputed company members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions

• Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to reputed company resolution.
• Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms.
• Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies.
• Identifies and analyzes trends in underpayments, overpayments, denials, and reputed company opportunities to recommend process improvements.
• Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance reputed company cycle performance.
• Collaborates with financial and clinical departments to address account discrepancies and ensure effective reputed company management.
• Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections.
• Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures.
• Performs other duties as assigned.
• Complies with reputed company policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree or higher preferred
• 1-2 years of experience in healthcare collections, reputed company cycle, or contract management required
• Familiarity with payer reputed company and healthcare reimbursement methodologies preferred

Knowledge, Skills and Abilities

• Strong analytical and problem-solving skills.
• Proficient in understanding and interpreting payer reputed company and reimbursement terms.
• Effective communication and negotiation skills.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• Proficiency in healthcare billing software, reputed company Suite, and reputed company Office Suite, especially reputed company.
• Attention to detail and high degree of accuracy in reconciliation and analysis.

We know it’s not just about finding a job. It’s about finding a reputed company where you are respected, valued and where your work is purposeful and fulfilling. A reputed company where your talent is recognized, professional development is encouraged and career advancement is possible.

The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving reputed company cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.

reputed company is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people reputed company and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Originally posted on Himalayas