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About Our Company – A Leader in Health‑Care Revenue Innovation
At HealthStream Financial Solutions, we are on a mission to transform the way health‑care providers manage their revenue cycles. With over a decade of experience partnering with hospitals, specialty clinics, and integrated delivery networks, we combine deep industry expertise with cutting‑edge technology to ensure every claim is maximized, every payment is accurate, and every patient experience remains positive. Our culture is built on collaboration, continuous learning, and a steadfast commitment to integrity. As we expand our remote workforce, we invite passionate professionals who thrive in a dynamic, data‑driven environment to join our growing team and help shape the future of payment compliance.
Why This Role Is Exciting – The Impact You’ll Make
The Remote Payment Compliance Collector plays a pivotal role in safeguarding the financial health of our client organizations. By identifying under‑payments, over‑payments, and revenue leakage, you will directly influence profitability and operational efficiency. This position offers the unique blend of analytical rigor and interpersonal communication, enabling you to work closely with payors, clinical teams, and finance specialists—all from the comfort of your own home office. Whether you are just beginning your career in revenue cycle management or looking to sharpen your expertise, this role provides a clear path to mastery, certification opportunities, and a platform to become a recognized subject‑matter expert in payment compliance.
Key Responsibilities – What Your Typical Day Looks Like
- Under‑payment & Over‑payment Management: Conduct daily follow‑up on disputed claims, escalation of unresolved items, and ensure timely resolution of payment discrepancies.
- Account Reconciliation: Review and verify account balances, perform adjustments, and maintain accurate status reports to support financial reporting.
- Payor Communication: Initiate and sustain professional telephone and email correspondence with insurance carriers, clearinghouses, and other payors to negotiate settlements and clarify reimbursement questions.
- Trend Analysis & Revenue Opportunity Identification: Use data mining tools to detect patterns of denials, under‑payments, and potential revenue leakage; present actionable insights to leadership.
- Process Improvement: Collaborate with cross‑functional teams to refine revenue cycle workflows, enhance compliance protocols, and reduce cycle time.
- Contract Interpretation: Analyze payer contracts, including CPT, HCPCS, DRG, and revenue code provisions, providing feedback to clinical and financial stakeholders.
- Collaboration with Clinical & Financial Departments: Work hand‑in‑hand with billing, coding, and clinical documentation improvement (CDI) teams to ensure claim accuracy from start to finish.
- Documentation Review & Validation: Validate account analysis prior to distribution, ensuring all supporting documentation aligns with regulatory and contractual requirements.
- Continuous Education & Compliance: Stay current with industry regulations, payer policy updates, and best practices through ongoing training and certifications.
Essential Qualifications – What You Must Bring to Succeed
- Education: High school diploma or equivalent; additional coursework in health‑care administration, finance, or related fields is a plus.
- Experience: Minimum of one (1) year of experience within a hospital revenue cycle environment or comparable setting. Relevant education may substitute for experience.
- Regulatory Knowledge: Familiarity with CPT, HCPCS, DRG systems, reimbursement methodologies, and revenue codes.
- Technical Proficiency: Demonstrated ability to work with UB‑04 claim forms, ICD‑10 coding, and intermediate Microsoft Office (Excel, Word, PowerPoint).
- Communication Skills: Excellent verbal and written communication; proven ability to engage professionally with internal teams and external payors via phone and email.
- Organizational Ability: Highly organized with strong time‑management skills; capable of juggling multiple projects and priorities simultaneously.
- Self‑Motivation: Initiative to work independently, maintain productivity in a remote environment, and proactively identify improvement opportunities.
- Problem‑Solving Aptitude: Ability to gather data, interpret complex instructions, and draw logical conclusions to resolve payment issues.
Preferred Qualifications & Skills – What Sets You Apart
- Certification such as Certified Revenue Cycle Professional (CRCP) or Certified Professional Coder (CPC).
- Experience with revenue cycle management (RCM) software platforms like Epic, Cerner, or Meditech.
- Advanced Excel skills, including pivot tables, VLOOKUP, and macro creation.
- Knowledge of state and federal regulations governing health‑care reimbursement (e.g., MACRA, HIPAA).
- Previous remote work experience with a proven track record of meeting or exceeding performance metrics.
- Strong analytical mindset with a knack for translating data trends into strategic recommendations.
Core Competencies for Success – The Behaviors That Drive Performance
- Attention to Detail: Meticulous review of claims, contracts, and financial data to ensure absolute accuracy.
- Customer‑Focused Mindset: Commitment to delivering exceptional service to both internal stakeholders and external payors.
- Adaptability: Ability to thrive in a fast‑changing environment, respond to new payer policies, and quickly adopt new technologies.
- Team Collaboration: Works effectively across departments, sharing knowledge and supporting collective goals.
- Ethical Integrity: Upholds the highest standards of confidentiality and compliance with all regulatory requirements.
- Continuous Learning: Proactively seeks out educational resources, webinars, and industry conferences to stay ahead of trends.
Career Growth & Learning Opportunities – Your Path Forward
At HealthStream Financial Solutions, we recognize that career development is a two‑way street. As a Remote Payment Compliance Collector, you will have access to a robust learning curriculum, including:
- Mentorship Programs: Pairing with seasoned revenue cycle leaders who guide you through complex cases and professional development.
- Certification Sponsorship: Company‑funded tuition for certifications such as CRCP, CPC, or Certified Healthcare Financial Professional (CHFP).
- Cross‑Training Opportunities: Rotations in related functions—such as denial management, claims editing, or payer contract analysis—to broaden your expertise.
- Leadership Pipeline: Clear advancement tracks toward Senior Collector, Revenue Cycle Analyst, Team Lead, and Management positions.
- Community of Practice: Participation in virtual forums, webinars, and industry conferences to network with peers and thought leaders.
Your success is our success—by investing in your growth, we ensure you remain at the forefront of revenue cycle innovation.
Work Environment & Company Culture – Thrive While Working Remotely
We believe that a supportive environment fuels performance. Our remote team enjoys:
- Flexible Scheduling: Choose work hours that fit your lifestyle while meeting core business requirements.
- Home Office Stipend: One‑time allowance for ergonomic furniture, high‑speed internet, or other essentials.
- Virtual Collaboration Tools: Access to industry‑standard platforms (Slack, Microsoft Teams, Zoom) for seamless communication.
- Diverse & Inclusive Culture: A workplace where all voices are heard, and diversity of thought is celebrated.
- Well‑Being Programs: Online wellness resources, mental‑health days, and regular virtual social events.
- Performance Recognition: Quarterly awards, peer‑nominated accolades, and spot bonuses for outstanding contributions.
Compensation, Benefits & Perks – What We Offer
While specifics may vary based on experience and location, successful candidates can expect a competitive total rewards package that includes:
- Base Salary: Market‑aligned compensation with regular merit increases.
- Performance Bonuses: Goal‑based incentives tied to revenue recovery, accuracy metrics, and customer satisfaction.
- Health & Wellness Benefits: Comprehensive medical, dental, vision, and prescription coverage.
- Retirement Savings: 401(k) plan with company match to help you build long‑term financial security.
- Paid Time Off: Generous vacation, sick leave, and paid holidays.
- Professional Development: Access to online courses, certification exam fees, and conference attendance.
- Technology Resources: Provision of a laptop, monitor, and required software licenses.
How to Apply – Take the Next Step in Your Career
If you are ready to leverage your analytical talents, communication strengths, and passion for revenue integrity, we encourage you to submit your application today. Please click the link below, attach your updated resume, and include a brief cover letter highlighting your most relevant experience and why you are excited about this remote opportunity.
Apply Now – Join Our Remote Team!
Closing Statement – Join a Visionary Team
At HealthStream Financial Solutions, your work matters. By joining us as a Remote Payment Compliance Collector, you become part of a purpose‑driven organization dedicated to excellence, integrity, and the continuous pursuit of financial optimization for health‑care providers. Take the leap, grow your expertise, and make a tangible impact—one claim at a time. We look forward to welcoming you aboard!
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