US Collector

Fully Remote • REMEDIAL PRO - Boca Raton, FL 33463

Position Overview:

Working lead for the Revenue Recovery team. Carries an individual work queue while coaching specialists, resolving escalations, reviewing work quality, and reporting on recoveries across assigned facilities.

Soft Skills:

Well spoken; clearly explains claim issues, expectations, and next steps to payers, facility partners, and the team.

Leads by example; sets the standard for accuracy, urgency, and professionalism on payer calls and follow-ups.

Patient, constructive coach; gives clear, timely feedback and develops specialists.

Strong ownership and time management; balances a personal inventory with team needs and deadlines.

Calm and decisive under pressure; makes sound judgment calls and knows when to escalate.

Comfortable using technology, spreadsheets, and approved AI tools in accordance with privacy policies.

Work History:

Minimum 4 years of healthcare revenue cycle, insurance AR, reimbursement, denials, or underpayment experience.

At least 1 year leading, training, or mentoring others (lead, supervisor, or senior specialist role).

Behavioral health, substance use disorder treatment, or multi-facility RCM experience strongly preferred.

Demonstrated success negotiating or disputing commercial payer reimbursement, with measurable recoveries.

Experience working accounts from investigation through final payer resolution and payment posting verification.

Technical Skills:

Microsoft Excel required: filters, sorting, formulas, lookups, and pivot tables for tracking team inventory and recoveries.

Read EOBs/ERAs, claim forms, adjustment codes, payment details, and claim histories.

Compare actual payment against expected reimbursement using applicable contracts, fee schedules, and claim details; review others' variance calculations for accuracy.

Evaluate payer and repricing offers against payment history and contract terms.

Prepare and review payer reconsiderations, appeals, corrected claim requests, and supporting documentation.

Build and maintain trackers and reports covering productivity, quality, aging, and recoveries.

Core Responsibilities:

Manage a personal underpayment and AR work queue in addition to leading the team.

Assign work and set daily and weekly priorities by aging, value, filing limits, and next action.

Coach and train specialists; answer questions, review calls and documentation, and give feedback.

Review specialist work for accuracy, including variance calculations, appeals, and account notes.

Serve as the first point of escalation for complex, recurring, or unclear payer and contract issues; escalate high-risk issues and payer trends to the Manager.

Track and report team productivity, quality, follow-up, and recovery results.

Maintain and improve team workflows, trackers, and standard communication templates.

Support onboarding of new team members and new facilities.

Verify recoveries or revised adjudication; make sure unresolved balances stay in follow-up.

Meet established productivity, quality, follow-up, and recovery expectations for self and team.

Resume search Key Words:

Job titles
Revenue Recovery Team Lead · Revenue Recovery Lead · Underpayment Team Lead · Insurance AR Team Lead · Reimbursement Team Lead · Denials Team Lead · Claims Resolution Lead · Payment Integrity Lead · Revenue Cycle Team Lead · Revenue Recovery Supervisor

Core function
Underpayment recovery · Team lead · Coaching · Quality review · Escalations · Contractual variance · Expected reimbursement · Appeals · Payer negotiation · AR aging · KPI reporting · Workflow improvement

Industry language
Behavioral health · SUD · Detox · Residential · PHP · IOP · Per diem · UB-04 · CMS-1500 · CPT · HCPCS · Revenue codes · Authorization · Timely filing

Systems and payers

Commercial payers: Aetna · Cigna / Evernorth · UnitedHealthcare / Optum / UMR · Carelon · BCBS · Anthem · Magellan · Humana

Portals / clearinghouses: Availity · Waystar · Office Ally · Change Healthcare / Optum · payer-specific portals

Repricing / payment integrity (preferred): MultiPlan · Zelis · Data iSight · Viant · ClearHealth · GCS · MARS

EMR / PM familiarity (helpful): Kipu · Sunwave · BestNotes · Alleva · Ritten · Lightning Step · Avea