Revenue Cycle Insurance Collector

Where You’ll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Job Summary and Responsibilities

As our Revenue Cycle Insurance Collector, you will serve as a critical member of our revenue cycle team, dedicated to maximizing financial performance and ensuring the accuracy of hospital billing. You will be responsible for navigating complex accounts receivable, managing denials, and implementing effective collection strategies that align with organizational policies. By bridging the gap between clinical data and financial resolution, you will play a key role in maintaining our hospital’s fiscal health and operational excellence.

Every day you will manage outstanding accounts and denials through our specialized collection tools, ensuring that each claim is processed with precision to accelerate cash flow. You will perform essential account reconciliations, post adjustments, and facilitate the rebilling of accounts to resolve outstanding balances. Your daily routine involves staying deeply integrated with payer-specific guidelines and contracts, ensuring that all follow-up actions are timely, compliant, and optimized to minimize revenue leakage.

To be successful in this role, you will possess a strong analytical mindset and a comprehensive understanding of healthcare reimbursement methodologies. You are a proactive communicator who excels at collaborating with both business and clinical divisions to resolve billing inquiries and complex issues. With your ability to thrive in a fast-paced environment, meet rigorous productivity benchmarks, and contribute to performance improvement initiatives, you will ensure our accounts receivable remain healthy and our patient billing processes remain highly efficient.

• Manage accounts receivable and denials using industry-standard collection tools and protocols.
• Execute precise account reconciliation by posting adjustments and rebilling claims as necessary.
• Interpret and apply payer-specific contracts to prevent untimely denials and optimize cash flow.
• Provide professional, timely responses to patient and provider inquiries via phone, email, and internal tasks.
• Contribute to performance improvement committees and collector meetings to drive operational success.
• Consistently meet established productivity standards for claim resolution and account management.

Job Requirements

Required

• High School Graduate and/or GED
• Two years medical billingexperience (Hospital billing experience preferred). Other related healthcareprovider claims experience in a high volume medical healthcare claim environment may be considered
• Previous experience with computerized billing systems, Word Processing and Spreadsheet applications.

Preferred

• One year of clerical experience in an office setting; hospital or clinic collection experience