Collections Associate

Responsibilities

• Follow up on unpaid and aging insurance claims with payers by phone and electronically
• Review and analyze claim issues, rejections, denials, and outstanding balances
• Submit and resubmit claims and supporting documentation to payers
• Review payments and Explanations of Benefits (EOBs) and determine appropriate next steps
• Prepare and submit claim appeals and supporting documentation
• Investigate payer underpayments and discrepancies
• Post payments and accurately enter EOB information into the billing system
• Verify and maintain accurate patient, insurance, payer, and claim information
• Prepare and distribute patient billing statements
• Communicate with patients regarding outstanding balances and payment options
• Work with patients to establish reasonable payment arrangements
• Process patient payments, refunds, and adjustments
• Respond to patient and provider inquiries regarding billing
• Maintain accurate and complete documentation of collection activities
• Generate and support accounts receivable (AR) and aging reports
• Partner with Finance and other internal stakeholders
• Identify recurring denial, payment, or collections issues
• Maintain compliance with HIPAA and billing regulations

Requirements

• 1–3 years of experience in medical billing, collections, claims, or revenue cycle management
• Familiarity with medical insurance claim submission, denials, and appeals
• Experience reviewing EOBs
• Knowledge of medical terminology and health insurance terminology
• Experience communicating directly with insurance payers
• Experience in a patient support, customer service, or customer care environment
• Ability to communicate professionally and empathetically with patients
• Strong attention to detail and ability to maintain accurate documentation
• Strong organizational skills to manage multiple claims and deadlines
• Strong written and verbal communication skills
• Ability to effectively de-escalate and resolve difficult interactions
• Ability to collaborate effectively with a remote and cross-functional team

Preferred Qualifications

• Experience with UnitedHealthcare, Aetna, and/or Blue Cross Blue Shield
• Experience working with DME, medical device, or other healthcare reimbursement
• Experience preparing and submitting insurance appeals
• Experience investigating payer underpayments
• Experience with AR aging and revenue cycle reporting
• Familiarity with NikoHealth, Salesforce, Microsoft applications, or similar CRM and medical billing systems
• Experience working within a startup, high-growth, or rapidly changing healthcare environment

About the Company

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience.