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Remote Medical Collections Specialist
<p dir="ltr" style="background-color: rgb(255, 255, 255); line-height: 1.38; margin-bottom: 0pt; margin-top: 11pt; padding: 0pt 0pt 11pt;"><span style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><i><span style="font-size: 11pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">As a Remote Medical Collections Specialist at Community Health Systems (CHS) - Shared Services Center, you’ll play a vital role in quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. </span></i></span></p><p dir="ltr" style="background-color: rgb(255, 255, 255); line-height: 1.38; margin-bottom: 11pt; margin-top: 0pt;"><span style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Our team members enjoy a robust benefits package including:</span></i></span></p><ul style="margin-bottom: 0px; margin-top: 0px; padding-inline-start: 48px;"><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> Paid Time Off (PTO)</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Comprehensive Health Benefits - Medical, Dental & Vision</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> 401k with company match</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Tuition reimbursement </span></i></span></li></ul><p dir="ltr" style="background-color: rgb(255, 255, 255); line-height: 1.38; margin-bottom: 11pt; margin-top: 11pt;"><br><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The Remote Collections Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure accuracy, compliance, and timely resolution. This role involves analyzing account balances, identifying discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with internal teams to support workflow efficiency, revenue integrity, and compliance with payer guidelines while maintaining productivity and accuracy standards. </span></i></span></p><ul style="margin-bottom: 0px; margin-top: 0px; padding-inline-start: 48px;"><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Processes and verifies reimbursement claims, ensuring accuracy and compliance with payer guidelines and regulatory requirements.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Reviews and resolves claim discrepancies, identifying incorrect payments, denials, or underpayments and taking appropriate action.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Applies correct transaction codes to accounts, ensuring proper claim adjudication and reimbursement flow.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Monitors and follows up on outstanding claims, ensuring timely resolution and payment collection.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Collaborates with revenue cycle teams and payers to investigate claim denials and appeal decisions when necessary.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Researches and interprets payer policies, ensuring adherence to reimbursement requirements and claim submission rules.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Documents account actions accurately and thoroughly in the appropriate systems, maintaining compliance with department protocols.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Identifies process improvement opportunities, contributing to increased efficiency and streamlined reimbursement workflows.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Maintains strict confidentiality of patient and financial information, ensuring compliance with HIPAA and corporate policies.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Performs other duties as assigned.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Complies with all policies and standards.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This is a fully remote opportunity.</span></i></span></li></ul><p dir="ltr" style="background-color: rgb(255, 255, 255); line-height: 1.38; margin-bottom: 11pt; margin-top: 11pt;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><strong>Qualifications</strong></span></i></span></p><ul style="margin-bottom: 0px; margin-top: 0px; padding-inline-start: 48px;"><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">H.S. Diploma or GED required</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Experience with payer reimbursement policies, claim adjudication, and healthcare revenue cycle operations preferred</span></i></span></li></ul><p dir="ltr" style="background-color: rgb(255, 255, 255); line-height: 1.38; margin-bottom: 11pt; margin-top: 11pt;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><strong>Knowledge, Skills and Abilities</strong></span></i></span></p><ul style="margin-bottom: 0px; margin-top: 0px; padding-inline-start: 48px;"><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Strong knowledge of medical billing, reimbursement procedures, and payer guidelines.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Familiarity with claim submission, denial management, and appeals processes.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Ability to analyze account balances, identify discrepancies, and apply appropriate adjustments.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Proficiency in electronic health records (EHR), billing software, and reimbursement systems.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Strong problem-solving and critical-thinking skills, ensuring accurate claims resolution.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Effective communication and collaboration skills, working with payers, revenue cycle teams, and internal departments.</span></i></span></li><li dir="ltr" aria-level="1" style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif; font-size: 10.5pt; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline; white-space: pre;"><span style="background-color: transparent; color: rgb(51, 51, 51); font-family: Arial, sans-serif;"><i><span style="font-size: 10.5pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Knowledge of HIPAA, compliance regulations, and healthcare reimbursement standards.</span></i></span></li></ul><p dir="ltr" style="line-height: 1.38; margin-bottom: 12pt; margin-top: 12pt;"><span style="background-color: transparent; color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><span style="font-size: 10.5pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration-skip-ink: none; vertical-align: baseline; white-space: pre-wrap;"><u>We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.</u></span></span></p><p dir="ltr" style="line-height: 1.38; margin-bottom: 12pt; margin-top: 12pt;"><span style="background-color: rgb(255, 255, 255); color: rgb(0, 0, 0); font-family: Arial, sans-serif;"><span style="font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.</span></span></p><p> </p><p dir="ltr" style="background-color: rgb(255, 255, 255); line-height: 1.38; margin-bottom: 10pt; margin-top: 0pt;"><span style="background-color: transparent; color: rgb(34, 34, 34); font-family: Arial, sans-serif;"><i><span style="font-size: 11pt; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.</span></i></span></p>
