Collections Specialist - Denials - Patient Accounts

Join Maury Regional Health as a Collections Specialist – Denials and utilize your analytical skills, healthcare revenue cycle experience, and attention to detail to support accurate reimbursement and financial accountability. Play an important role in resolving payment discrepancies, protecting organizational resources, and promoting efficient financial operations that support our mission of delivering Clinical excellence.

Compassionate care. Every patient. Every day.

Location Maury Regional Annex 1223 Trotwood Ave Columbia, TN 38401 Shift Full-Time Monday-Friday (several schedules to choose from 6a-6p)

The Collections Specialist – Denials plays an essential role in supporting the financial integrity and operational efficiency of Maury Regional Health's revenue cycle. This position contributes to accurate reimbursement, responsible financial management, and compliance with payer agreements while helping minimize revenue loss and maintain reliable patient account records. As a valued member of the Patient Accounts team, the Collections Specialist supports collaboration across departments to promote timely account resolution, financial accuracy, and the organization's commitment to responsible stewardship of resources.

Responsibilities Review and analyze patient accounts with credit balances to identify payment discrepancies, determine the source of overpayments, and ensure accurate account resolution. Evaluate insurance claim payments against established payer contracts to verify reimbursement accuracy, identify underpayments or overpayments, and document findings with clear explanations of discrepancies and required corrective actions.

Investigate underpaid claims and initiate appropriate appeals, payer follow-up, and corrective actions to recover reimbursement owed in accordance with contractual agreements and established procedures. Determine appropriate patient financial responsibility, transfer applicable balances to patient accounts, and ensure accurate application of billing policies, contractual adjustments, and insurance guidelines. Identify and distinguish between patient and insurance overpayments, process applicable refunds, payment transfers, and account adjustments, and maintain accurate financial records in compliance with organizational policies.

Collaborate with the Contracting Department, Revenue Cycle teams, and insurance payers to resolve reimbursement discrepancies, address complex account issues, and identify opportunities to improve financial processes and reimbursement accuracy. Qualifications 3 Years of Related Experience in a Medical or Hospital Setting (Required) High School Diploma or Equivalent (Preferred) Why Maury Regional Health Join an award-winning health system committed to serving the healthcare needs of southern Middle Tennessee!

Benefit-eligible positions include: Comprehensive Medical, Dental, and Vision plans Employer-paid life insurance Retirement savings plan with employer-matching Paid Time Off (PTO) Educational Assistance, Tuition Reimbursement and Student Loan Forgiveness Career advancement navigation opportunities Adoption assistance services Financial planning programs Maury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship.

Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law.

Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.