We are looking for a detail-oriented Medical Billing & Claims Specialist to support revenue cycle operations for a healthcare organization in Colorado Springs, Colorado. This contract position offers a path to a permanent role and focuses on managing patient accounts, resolving billing issues, and securing timely reimbursement from third-party payers. The ideal candidate brings strong experience in medical billing, claims follow-up, denials, and collections, along with the ability to work accurately in a fast-paced setting.<br><br>Responsibilities:<br>• Oversee assigned patient accounts throughout the accounts receivable process, from claim review through final resolution.<br>• Verify insurance eligibility and benefits information to help ensure claims are submitted with complete and accurate documentation.<br>• Monitor unpaid balances and take timely action to pursue reimbursement, reduce aging, and limit avoidable bad debt.<br>• Investigate claim denials, payment variances, and rejections, then prepare appeals or follow-up with payers to secure appropriate payment.<br>• Review remittance details to identify reasons for nonpayment or underpayment and determine the best path to resolution.<br>• Examine account issues to uncover root causes, resolve routine exceptions, and escalate complex matters when needed.<br>• Apply payer guidelines, organizational policies, and sound judgment when determining next steps for outstanding or disputed accounts.<br>• Maintain compliance with confidentiality standards and safeguard sensitive patient information in all billing and collection activities.
We are looking for an Accounts Receivable Specialist to join our team in Denver, Colorado. In this role, you will handle customer invoicing, payment collections, and resolution of billing discrepancies, ensuring accurate and efficient accounts receivable processes. This position requires a detail-oriented individual who can communicate effectively and manage high volumes of transactions with precision.<br><br>Responsibilities:<br>• Conduct timely and accurate invoicing, monitor aging reports, and reconcile customer accounts.<br>• Perform payment collection calls and send correspondence to address outstanding invoices.<br>• Investigate and resolve customer chargebacks, billing issues, and disputes in a thorough and efficient manner.<br>• Obtain and review required documentation for deductions, and request repayment for invalid deductions.<br>• Accurately record and allocate customer payments while resolving unapplied funds.<br>• Respond promptly to customer inquiries regarding billing, payment terms, and account balances.<br>• Process write-offs, credit memos, and debit memos in accordance with established protocols.<br>• Generate ad hoc reports for customers, sales teams, and other stakeholders as needed.<br>• Collaborate with the Accounts Receivable Supervisor and Accounting Manager to support departmental objectives.<br>• Maintain confidentiality when handling sensitive information and perform additional duties as assigned.
<p>We are looking for an experienced Director of Credit/Collections to lead and optimize our global credit and collections strategy. Based in Westminster, Colorado, this role is pivotal in driving sustainable growth while mitigating financial risks in a hybrid software and hardware business environment. The ideal candidate will excel in team leadership, process improvement, and cross-functional collaboration to deliver exceptional results.</p><p><br></p><p>Benefits for the Director of Credit/Collections are excellent and include unlimited PTO, immediate healthcare coverage (including vision and dental), 401k with 4% company match, annual bonus potential, company stock/equity options, paid holidays, and more!</p><p><br></p><p>Responsibilities:</p><p>• Develop and execute a comprehensive global credit and collections strategy that aligns with business objectives and balances risk and growth.</p><p>• Drive process improvements and technological advancements across credit approvals, order-to-cash, and collections workflows to enhance efficiency and scalability.</p><p>• Lead and mentor a high-performing team, fostering accountability and delivering exceptional service to both internal and external stakeholders.</p><p>• Oversee credit risk assessments for both new and existing customers, incorporating financial health, contract structures, and industry trends.</p><p>• Manage collections activities to minimize outstanding receivables and bad debt, ensuring compliance with service-level agreements and business goals.</p><p>• Provide data-driven insights and reporting on receivables aging, credit risk, and bad debt trends to inform strategic decision-making.</p><p>• Ensure compliance with regulatory standards, internal controls, and audit requirements to maintain operational integrity.</p><p>• Collaborate with Sales, Finance, Legal, and Operations teams to support business growth and improve customer experiences.</p><p>• Supervise relationships with external vendors, including collection agencies and credit bureaus, to ensure effective management.</p><p>• Advocate for continuous improvement initiatives using methodologies like Six Sigma to refine processes and enhance team performance.</p>