Medical Collections Representative - VBC bei Cedar Gate Technologies

Position Summary

Why You’ll Love Working in This Position:

• Flexible Work Life: Enjoy our hybrid remote schedule, which offers flexibility to balance your work productivity and dynamic personal life.
• Robust Benefits: Enjoy comprehensive medical, dental, and vision coverage, FSA/HSA options, 4% 401(k) matching, tuition assistance, generous paid time off, exclusive employee discounts, and more.
• Rewarding Culture: Work alongside a high-performing, supportive team that celebrates success together.
• Continuous Learning: Access professional development, training, and mentorship to sharpen your skills and advance your career.
• Meaningful Work: We prioritize both employee well-being and delivering exceptional results for clients, revolutionizing healthcare.

Summary
As a Collections Representative – Value-Based Care (VBC) with Cedar Gate Technologies, you’ll play a pivotal role in managing and resolving complex accounts receivable (A/R) within our growing organization. Your focus will be on reconciling, researching, and managing assigned accounts while proactively handling claims inquiries and ensuring strict adherence to company collection policies and procedures. In this position, you’ll work closely with internal teams as well as outside agencies, vendors, and clients to maintain strong A/R performance, meet aging targets, and drive timely payments. This role offers an excellent opportunity to develop your technical expertise, contribute to process improvements, and be part of a talented and supportive team that values accuracy, collaboration, and professional growth.

Roles & Responsibilities 

• Complete Value-Based Reimbursement processes accurately and on time, following industry best practices and Cedar Gate Technologies standards.
• Analyze and resolve assigned claims promptly.
• Communicate with carriers, physician offices, patients, and management to ensure smooth claims resolution.
• Verify and update insurance benefits.
• Process adjustments and post payments accurately.
• Appeal claims when needed.
• Obtain medical records and supporting documents to help secure timely and complete claims payment.

Job Location 

Hybrid Remote: Enjoy the flexibility of working from home and collaborating three days a week at our office in Houston, Texas

Required Experience / Qualifications

• Minimum of 2 years in medical collections or value-based care accounts, demonstrating a track record of accuracy, problem-solving, and timely resolution.
• Strong analytical ability to review and interpret both patient accounts and payer Explanation of Benefit (EOB) responses, identifying issues and resolving them efficiently.
• Solid understanding of managed care, contract terms, and medical terminology, with the ability to apply this knowledge to complex claims and reimbursement processes.
• Open-minded, eager to learn, adapt, and take on new challenges while contributing to a collaborative team environment.
• Self-motivated and able to take ownership of tasks, prioritize effectively, and drive results.
• Exceptional verbal and written communication skills
• Ability to work with both internal and external customers in a supportive team atmosphere
• Demonstrated proficiency with MS Word, Outlook, and Excel, as well as any EHR.
• Highly organized with the ability to multitask, manage competing priorities, and meet tight deadlines consistently.
• Thrive under pressure in a fast-paced environment while maintaining accuracy, professionalism, and a focus on results. 

Preferences – Not Required 

• Associate or Bachelor’s degree 
• Specialty Care collections experience, especially cardiologic care
• Currently has Certified Professional Coder (CPC) certification

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.