Collector - Third-Party Payor Denials & Collections

Job Description

Job Description

Position Title: Collector – Third-Party Payor Denials & Collections
Reports To: Revenue Cycle Manager / Director of Operations
Location: [Insert Location / Hybrid – occasional work-from-home]
Employment Type: Temporary (with potential for Full-Time, Permanent Placement)

Position Summary

We are seeking an experienced Collector to join our team on a temporary basis, with the opportunity to transition into a full-time permanent position based on performance and business needs. This role focuses on third-party payor denials and collections, requiring expertise in contract interpretation, billing codes, and compliance with state and local regulations. The ideal candidate will be highly organized, detail-oriented, professional, and possess excellent work ethics. They should demonstrate a collaborative team spirit and have a solid understanding of medical terminology. This position also offers occasional flexibility to work from home. Please note: All offers of employment are contingent upon the successful completion of a background check and drug testing.

Key Responsibilities

• Review, analyze, and resolve third-party payor denials and underpayments to maximize reimbursement.
• Interpret payer contracts and guidelines apply to appeal inappropriate denials.
• The ideal candidate must have the ability to work closely with Registered Nurses (RNs) and collaborate on denial cases, providing recommendations and developing plans of action to resolve issues effectively. “Leverage knowledge in contract interpretation and (CPT, ICD-10, HCPCS, DRG) to validate claims and support appeals.
• Draft and submit appeal letters with appropriate documentation in compliance with payor standards.
• Ensure compliance with state and local billing regulations in all collection activities.
• Collaborate with billing, coding, and case management staff to identify denial trends and improve processes.
• Maintain accurate and timely documentation of collection activities in billing systems.
• Support A/R management efforts, including aging analysis and denial tracking.
• Stay updated on payer policy changes, regulatory updates, and industry best practices.
• Promote teamwork and professional collaboration within the revenue cycle department.

Company DescriptionExcel HealthCare Receivable Management & Consulting Corp. (“Excel”) is a specialized healthcare consulting firm dedicated to helping hospitals, physician groups, and healthcare systems optimize their revenue cycle operations. With proven expertise in Accounts Receivable reviews, denials management, appeals, and collections, we partner with providers to reduce revenue leakage, improve cash flow, and strengthen compliance with payer regulations.

At Excel, we pride ourselves on integrity, transparency, and measurable results. Our approach combines deep industry knowledge, attention to detail, and hands-on consulting to ensure clients receive the highest level of support. We work closely with providers and clinical teams, including RNs and case management, to resolve denials, recommend corrective action, and implement sustainable revenue cycle improvements.

As we continue to expand, we are seeking passionate professionals who share our commitment to excellence, teamwork, and making a meaningful impact in healthcare finance.

Company Description

Excel HealthCare Receivable Management & Consulting Corp. (“Excel”) is a specialized healthcare consulting firm dedicated to helping hospitals, physician groups, and healthcare systems optimize their revenue cycle operations. With proven expertise in Accounts Receivable reviews, denials management, appeals, and collections, we partner with providers to reduce revenue leakage, improve cash flow, and strengthen compliance with payer regulations.\r\n\r\nAt Excel, we pride ourselves on integrity, transparency, and measurable results. Our approach combines deep industry knowledge, attention to detail, and hands-on consulting to ensure clients receive the highest level of support. We work closely with providers and clinical teams, including RNs and case management, to resolve denials, recommend corrective action, and implement sustainable revenue cycle improvements.\r\n\r\nAs we continue to expand, we are seeking passionate professionals who share our commitment to excellence, teamwork, and making a meaningful impact in healthcare finance.