Insurance Collections Representative - HMS DBO

The Insurance Collections Representative is responsible for following up directly with commercial and government payers to resolve billing issues and secure appropriate reimbursement in a timely manner. This individual identifies and analyzes denials and payment variances, then enacts corrective measures as needed to resolve the errors. This role is a remote position supporting a virtual business office. As such, this role requires frequent and effective communication via phone, email, and instant messaging with the various engagement teams. Strong oral and written communication skills, analytical skills, ability to work independently, and be self"‘motivated are required. Duties and Responsibilities Examines denied and underpaid claims to determine reasons for discrepancies from expected reimbursement. Provides payers with specific reasons for suspected underpayments and analyzes the given denial reasons by payer. Works with management to identify, trend, and address root cause of denials, helps pinpoint strategies for reducing A/R. Effectively handles all communications, including telephone, electronic, and paper correspondence from payers and departments within the business office. Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress. Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliances issues and payer discrepancies. Reports all identified compliance risks to appropriate leadership. Other duties and responsibilities as assigned. Reporting and Supervision The Insurance Collections Representative will report to an HMS Manager. Qualifications Candidate Requirements Current permanent US work authorization required. Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern revenue cycle. Broad Knowledge of Government Programs and Insurance Regulations. May be requested to work overtime and/or weekends to fulfil client requirements. Knowledge, Skill, and Ability Requirements Proficiency with Microsoft Office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint). Ability to pay close attention to details; strong follow"‘up and follow"‘through skills. Requires the use of independent judgment, discretion and decision"‘making abilities. Ability to interact with internal and external customers in a professional manner. Ability to ramp up on a client's environment, processes, historical context, and systems to provide support to an engagement as soon as possible. Demonstrates a solid understanding of and adheres to all Huron Healthcare compliance program requirements. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction through video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. The estimated salary range for this job is $19.23-$25.00/hour. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Analyst Country United States of America Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug"‘free workplace. #J-18808-Ljbffr

Created: 2026-04-20