Medical Collector

Position Overview

A healthcare organization is seeking experienced Medical Collections Specialists to support insurance follow-up and full-cycle claims resolution.

Key Responsibilities

• Perform insurance follow-up on outstanding and aged claims
• Work claims from initial billing through final resolution
• Research and resolve denied or underpaid claims
• Review Explanation of Benefits (EOBs) and determine next steps
• Submit appeals, rebills, and tracers
• Identify and process adjustments, refunds, and bad debt accounts
• Communicate with insurance companies, patients, and third-party payers
• Verify billing information for both electronic and paper claims
• Review remittance advice and ensure accurate reimbursement
• Research payer guidelines and contracts to resolve discrepancies
• Analyze claims and make decisions quickly to drive resolution

Required Qualifications

• 2+ years of medical collections experience
• Experience working with UB-04 (hospital billing)
• Strong understanding of insurance follow-up and denial resolution
• Knowledge of reimbursement methodologies
• Ability to analyze claims and problem-solve independently
• Basic Excel and computer proficiency

Benefits

• This position is eligible for medical, dental, vision, and 401(k).

Productivity Expectations

• Target of 18–20 claims per day
• Strong emphasis on quality, accuracy, and timely follow-up

Additional Details

• 2-week training period on systems and processes
• No planned time off allowed during the first 90 days (training period)
• Candidates should demonstrate job stability and long-term interest
• Strong communication skills required, including the ability to clearly explain past experience