Medical Collections Representative – Value-Based Care

Position Summary

Reasons you will want this position:

• Cedar Gate Technologies is a rapidly growing company, with limitless career growth and advancement for top performers
• Our culture appreciates and rewards diverse, creative ideas especially those that achieve better outcomes for everyone
• This is the opportunity to learn and gain experience with packaged collections from healthcare payors. No patient collections here.
• Remote hybrid work schedule with flexible hours in a brand new ergonomically designed office

Summary
The Collections Representative – VBC (Value-Based Care) is responsible for resolving complex accounts receivable (A/R) for Value Based Care. You will join a talented team that demonstrates superb technical competency while elevating those around them. Our VBC Collections Representatives are responsible for reconciling, managing, and researching assigned accounts. They also handle all unresolved claims inquiries and/or issues, and are responsible for following company collection policies and procedures. On occasion you may also work with outside agencies, vendors, and clients to maintain the company's acceptable AR days, AR aging, and payments.

Roles & Responsibilities

• Complete Value-Based Reimbursement processes timely and accurately according to industry best practices and Cedar Gate Technologies standards.
• Analyze and properly resolve assigned claims promptly.
• Communicate with carriers, physician's offices, patients, and management to resolve issues and claims status.
• Accurately verify insurance benefits related to claims.
• Ensure insurance benefits are updated.
• Process required adjustments according to department protocol.
• Ensures payments are posted accurately.
• Properly appeal claims as needed.
• Obtain medical records and other documents from appropriate resources as needed for claims payment.

Required Experience / Qualifications

• Minimum of 2 years of experience in medical collections
• Ability to analyze both patient accounts and payer Explanation of Benefit responses
• Working knowledge of managed care, contract terms, and medical terminology
• Possess a positive attitude and a willingness to learn
• Self-motivated
• Excellent verbal and written communication skills
• Ability to work with both internal and external customers in a team atmosphere
• Demonstrated proficiency with Microsoft Word, Outlook, and Excel
• Excellent organizational skills and the ability to multitask
• Ability to work well under pressure and have an ability to prioritize and meet deadlines

Preferences – Not Required

• Associate or Bachelor’s degree
• Cardiology collections experience

Your Future Working Environment

If you join Cedar Gate, you can make great ideas happen for some of the world's most dynamic companies. With broad global resources and deep technical know-how, we collaborate with clients to cultivate ideas and deliver results in the medical industry. Choose a career at Cedar Gate and enjoy an innovative environment where challenging and interesting work is part of daily life.

Next to our excellent terms of employment and fringe benefits, we invest considerable resources to provide ongoing training that builds and extends professional, technical, and management skills in all areas. At Cedar Gate, you will operate in a professional environment where teamwork and innovation are immensely encouraged. Together with colleagues, you will work on high-impact projects for many dynamic companies.

About Cedar Gate

Cedar Gate enables payers, providers, employers, and service administrators to excel at value-based care. Our unified technology and services platform enhances and automates data management activities to deliver employer and provider analytics, care management, and payment technology necessary to pursue every payment model and optimize performance in all lines of business. From primary care attribution to bundled payments to capitation, our platform is designed to improve clinical, financial, and operational outcomes for all.

Based in Greenwich, CT, Cedar Gate is private equity-backed by GTCR, a leading Chicago-based private equity firm, Ascension Ventures, a strategic healthcare venture firm, and Cobalt Ventures, the investment subsidiary of BCBS of Kansas City. To learn more, visit www.cedargate.com.