Collections Specialist

Position Summary

We are seeking a skilled and driven Collections Specialist with experience in both medical claims billing and AR follow-up. This is a remote position.

Key Responsibilities

• Maintain detailed claim logs, documentation, and daily status reports.
• Monitor claim status and timely resubmit corrected or appealed claims to maximize reimbursement.
• Work denials and underpayments — investigate payor responses, correct errors, and reprocess as needed.
• Track accounts receivable aging and proactively follow up on unpaid or overdue claims.
• Communicate professionally with insurance carriers to resolve claim issues and negotiate payment when necessary.
• Initiate patient and third-party follow-up for collection of unpaid balances.
• Record and reconcile insurance and patient payments accurately.
• Report on collection activity and account status to leadership.

Qualifications

• 2–3+ years of experience with medical billing, claims follow-up, and collections — preferably in behavioral or mental health settings.
• Proficiency in working with insurance carriers and resolving complex payor issues.
• Strong attention to detail and analytical skills for tracking accounts receivable and denials.
• Excellent communication skills (written and verbal).
• Proficient with Microsoft Excel and billing/EMR systems (experience with Collaborate MD and Sunwave or similar software is a plus).
• Ability to manage multiple workflows and deadlines independently.
• Preferred: Knowledge of CPT, ICD-10, and healthcare reimbursement rules. Experience with appeals, corrected claims, and payer negotiations.

Pay

$50,000.00 per year

Benefits

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Environment

Full-time, Remote