Medical Insurance Collector

Healthcare Chaos Management (HCM)

Healthcare Chaos Management (HCM) is a nationally scaled healthcare revenue cycle organization with over 40 years of industry experience, currently evolving into a modern Healthcare company. We partner with hospitals and healthcare systems across the United States to optimize revenue operations, improve patient financial experiences, and drive measurable outcomes through a blend of human expertise and intelligent automation.

At HCM, we convert complexity into coherence, combining deep revenue cycle knowledge, advanced technology, and a people-first mindset.

Position Overview

The Medical Insurance Collector is responsible for supporting end-to-end revenue cycle operations for assigned clients, ensuring claims are processed accurately, timely, and in compliance with payer and regulatory requirements. This role plays a critical part in driving reimbursement, resolving denials, and maintaining clean accounts receivable.

This is an ideal opportunity for a revenue cycle professional who is detail-oriented, analytical, and motivated to grow within a fast-evolving healthcare and technology-driven organization.

Key Responsibilities

Claims Submission & Insurance Follow-Up

• Submit professional and/or institutional claims in accordance with payer guidelines.
• Monitor insurance aging reports and prioritize unpaid or underpaid claims for follow-up.
• Perform insurance follow-up via payer portals and telephone communication to drive timely resolution.

Denial Management & Appeals

• Research, analyze, and resolve claim denials efficiently.
• Identify root causes of denials and take corrective action to prevent recurrence.
• Prepare and submit appeals with appropriate documentation to maximize reimbursement.

Insurance Verification & Authorizations

• Collaborate with internal teams and external partners to support authorization and utilization management processes.
• Verify insurance coverage and ensure accurate documentation within billing systems.

Remittance Transaction Posting

• Post payments, adjustments, and transactions accurately and timely.
• Resolve payment discrepancies, underpayments, and delays to effectively manage AR.
• Communicate with payers to reconcile payment issues and ensure proper reimbursement.

Credit Balance Resolution

• Review and resolve credit balance accounts.
• Process refunds to appropriate parties or initiate correction of posting or adjustment errors.

Compliance & Documentation

• Ensure all work complies with federal, state, local, and client-specific policies and procedures.
• Maintain accurate and complete documentation within billing systems.
• Adhere to HIPAA and confidentiality requirements when handling protected health information.

Collaboration & Process Improvement

• Identify trends, discrepancies, or process gaps and escalate to appropriate departments.
• Partner with internal teams (coding, patient access, analytics, technology) to support continuous improvement initiatives.
• Contribute to a collaborative, solution-oriented team environment.

Customer Service & Communication

• Provide professional and timely support to internal stakeholders and external clients.
• Communicate clearly and effectively, both verbally and in writing, to resolve issues and align on next steps.

Key Performance Indicators (KPIs)

Performance in this role will be measured by:

• Production: Consistently meet or exceed account resolution targets by completing an expected volume of accounts and timely completion of assigned worklists and tasks
• Quality: Accuracy and compliance in claims processing, follow-up, and documentation.
• Resolution Rate: Successful resolution of unpaid claims and denials.

What We Offer

• Competitive Compensation: Based on experience and role alignment.
• Medical, Dental & Vision Insurance: Comprehensive coverage options.
• Life Insurance: Employer-provided life insurance.
• Flexible Time Off (FTO):
• 401(k) Plan: Employer match to support long-term financial goals.
• Additional Benefits: Flexible scheduling options, collaborative team culture, and growth opportunities.

Minimum Qualifications

Experience & Knowledge

• Minimum of 2+ years of experience in revenue cycle management, medical billing, or healthcare reimbursement.
• Experience working with Medicare, Medicaid, and commercial insurance payers.

Systems & Technical Skills

• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Experience using healthcare billing systems such as Epic or Meditech.
• Experience with Salesforce or similar CRM/workflow platforms is a plus.
• High Speed Internet

Core Competencies

• Strong attention to detail and analytical skills.
• Ability to research, interpret, and resolve billing and reimbursement issues.
• Excellent written and verbal communication skills.
• Demonstrated customer service mindset when working with internal teams and clients.
• Dedicated workspace within your residence

Work Environment & Schedule

• Location: Remote role based in Indianapolis, IN (46220)
• Schedule: Full-time, Monday through Friday

Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

Join the HCM Team

At Healthcare Chaos Management, you will play a meaningful role in strengthening revenue cycle performance for healthcare organizations nationwide. If you are driven by accuracy, accountability, and impact—and want to grow with a company at the intersection of healthcare and technology—we encourage you to apply and join our team.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Application Question(s):

• Which areas of the revenue cycle have you worked in, and for how many years?

(Select all that apply and indicate total years of experience.)
☐ Patient Access / Registration (Years: _)
☐ Eligibility & Benefits Verification (Years: _)
☐ Charge Entry / Coding Support (Years: _)
☐ Claims Submission (Years: _)
☐ Accounts Receivable Follow-Up (Years: _)
☐ Denials Management / Appeals (Years: _)
☐ Payment Posting / Reconciliation (Years: _)
☐ Credit Balance Resolution / Refunds (Years: _)
☐ Credentialing (Years: _)
☐ I do not have revenue cycle experience

• How many years of experience do you have submitting claims, following up on unpaid claims, and managing claim denials or appeals?

☐ Less than 1 year
☐ 1–2 years
☐ 3–5 years
☐ 5+ years
☐ No experience

• How many years of experience do you have working with insurance payers and billing portals (Medicare, Medicaid, and/or Commercial)?

☐ Less than 1 year
☐ 1–2 years
☐ 3–5 years
☐ 5+ years
☐ No experience

• Which of the following EMR or billing systems have you used while working live patient calls (proficient level)?

(Select all that apply)
☐ Epic
☐ Cerner
☐ Meditech
☐ Athenahealth
☐ NextGen
☐ Allscripts / Veradigm
☐ Waystar
☐ Change Healthcare
☐ Availity
☐ Other EMR or billing system
☐ I do not have EMR experience

• How many years of experience do you have managing accounts receivable follow-up, transaction posting, or credit balance resolution?

☐ Less than 1 year
☐ 1–2 years
☐ 3–5 years
☐ 5+ years
☐ No experience

• Please indicate your desired hourly pay range for this role.

Work Location: Remote