We are looking for a Collections Representative to support insurance follow-up activities for outstanding low-balance and denied claims in a remote, Long-term Contract role based in Minneapolis, Minnesota. This position works closely with an established revenue cycle team to improve claim resolution, secure appropriate reimbursement, and maintain accurate account records. The ideal candidate brings acute-care collections experience, strong payer knowledge, and the ability to balance quality standards with daily productivity goals.
Responsibilities:
- Review and pursue unpaid, low-dollar, and denied insurance claims with government and commercial payers to drive timely resolution and reimbursement.
- Investigate account status by analyzing claim details, remittance information, payer correspondence, and supporting documentation to identify next steps.
- Take action on denials, underpayments, and other claim issues by contacting payers, using online portals, and documenting outcomes thoroughly in the patient accounting system.
- Maintain complete and accurate notes on account activity, follow-up efforts, and payment status to support compliance and continuity of work.
- Meet defined productivity and quality targets while managing a consistent queue of accounts in a fast-paced collections environment.
- Collaborate with team leadership and peers to address claim barriers, escalate complex cases when needed, and support overall departmental performance.
- Apply knowledge of reimbursement guidelines, claim forms, and payer-specific requirements to strengthen collection outcomes and reduce repeat issues.
- High school diploma or equivalent.
- At least 2 years of experience in an acute-care collections role within healthcare revenue cycle operations.
- Practical knowledge of insurance follow-up, denial resolution, and payer collection processes across government and commercial plans.
- Ability to maintain established quality standards and daily productivity expectations.
- Strong written and verbal communication skills with solid analytical, organizational, and account documentation abilities.
- Proficiency with Microsoft Excel, Word, and Outlook.
- Ability to complete required competency or skills assessments successfully.
- Experience with hospital patient financial services, denied or underpaid claims, and patient accounting platforms such as MS4 Invision or similar systems is preferred.