Medical Collections Specialist

About the role

As a Medical Collections Specialist, you are responsible for managing and resolving outstanding patient accounts and insurance claims. This involves contacting insurance companies to collect payments, verifying billing information, and ensuring compliance with healthcare regulations.

Essential Duties & Responsibilities

• Ensure all collections processes comply with regulatory requirements for government, commercial health plans, and medical group payors.
• Oversee accurate and timely billing, confirm correct coding and unit documentation based on payor and therapy type.
• Verify all payor-specific requirements are met before submitting claims electronically.
• Resolve claim issues by conducting timely follow-ups utilizing payor remittance advice and correspondence.
• Confirm required authorizations and medical documentation are included with claim submissions as well as appeals.
• Accurately book revenue in alignment with managed care contracts.
• Conduct collections calls to payors and/or patients promptly and professionally.
• Maintain HIPAA compliance and safeguard patient health information in accordance with company policy.
• Responsible for achieving daily productivity targets and support timely completion of monthly financial deadlines.

Requirements

• High school diploma or equivalent
• Knowledge of HCPC, CPT, and ICD-10 codes
• 1+ year of experience working with insurance payors (billing or collections)

Qualifications

Our ideal candidate is a healthcare professional who enjoys making a positive impact on patients' lives. If you're passionate about healthcare and eager to contribute to our mission, we'd love to hear from you!

Skills

• Excellent communication skills
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite

Benefits

• 401k w 4% match – no waiting or vesting period
• PTO / Floating Holidays / Paid Holidays
• Company paid life insurance and short-term disability
• Employee Assistance programs to help with mental health / wellness
• Learning & Development Programs
• Generous employee referral program

Pay

Competitive salary commensurate with experience.

Schedule

Full-time, Monday through Friday, 8:00 AM - 5:00 PM.