Claims Audit Coordinator, Collections

About Cedar Gate Technologies

Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you’ll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.

Position Summary

The Collections Representative is responsible for managing assigned accounts receivable (A/R) and supporting collection activities related to value-based care reimbursement programs. This role focuses on researching and resolving claims, maintaining accurate account documentation, and following established collection policies and procedures. The position works with internal departments, clients, vendors, and payers to address outstanding balances and support revenue cycle operations.

Roles & Responsibilities

• Complete value-based reimbursement activities in accordance with company policies and established procedures.
• Research, analyze, and resolve assigned claims and account issues.
• Communicate with carriers, physician offices, patients, and internal stakeholders regarding claim status and payment resolution.
• Verify insurance coverage and benefits information.
• Process payment postings and account adjustments.
• Submit claim appeals as appropriate.
• Obtain medical records and supporting documentation necessary for claim review and reimbursement.
• Maintain accurate account records and documentation.
• Meet productivity, quality, and aging objectives established by management.
• Perform other duties as assigned.