Medical Collections Specialist SICF Pain Management Lakeland, FL Job Details Full-time 13 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Qualifications Managing customer accounts Customer communication Correspondence management Legal correspondence preparation Microsoft Excel Accounts receivable management Medical office experience Health insurance policy knowledge Medical coding experience in physician offices Financial software Managing client accounts Medical administrative support Documentation tools Financial records management Electronic health record (EHR) management for billing and coding Financial records review Medical billing and coding communication with insurance companies Medical claims submission Insurance provider collaboration Health information management Productivity software Handling patient inquiries Managing patient records Medical terminology Medical debt collection accounts Technical Proficiency Editing Collections account management Patient collections management DRG Full Job Description Job Overview Spine Institute of Central Florida seeking a proactive and detail-oriented Medical Billing and Collections Specialist to join our bustling orthopaedic medical facility. In this vital role, you will be responsible for managing the collection of outstanding medical accounts, ensuring timely payments, and maintaining positive relationships with patients and insurance providers. Your expertise in healthcare claims management, medical coding, and billing processes will contribute significantly to the financial health of our organization. This position offers an exciting opportunity to utilize your medical office experience, technical skills, and customer service abilities in a dynamic environment committed to excellence. Responsibilities Communication with patients and insurance companies to follow up on unpaid or underpaid medical claims and accounts Review and analyze healthcare claims using DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems to ensure accuracy and completeness Resolve billing discrepancies by researching medical records, verifying medical coding, and updating billing information in electronic health record (EHR) systems Collaborate with healthcare providers to clarify billing details or obtain additional documentation needed for claims processing Stay informed about health insurance policies, healthcare claims management procedures, and regulatory changes affecting medical collections Provide excellent customer service by addressing patient inquiries professionally and empathetically while explaining billing processes clearly. Assessment of payments to ensure compliance with contractual agreements, Medicare allowables, workers compensation fee schedules, etc. Maintain detailed documentation of collection efforts, payment statuses, and communication logs within billing software and EMR/EHR platforms for attorney intervention. Prepare and send collection demand documentation. Requirements Proven experience in medical office settings with a focus on medical billing, and collections Strong knowledge of medical and surgical claims management, including familiarity with

DRG, CPT

coding, ICD-9/ICD-10, and ICD coding standards Proficiency in Microsoft Office applications (Word, pdf documents, and Excel), billing software, EMR/EHR systems, and other healthcare technology tools Understanding of health insurance policies, medical terminology, and medical records management Excellent and efficient communication skills with a customer service-oriented approach when discussing collection matters with patients and insurance companies. Ability to work independently while managing multiple accounts efficiently Attention to detail with strong organizational skills to ensure accuracy in all documentation Proficiency in drafting, editing, and finalizing correspondence. Join us as a Medical Billing and Collections Specialist and become an integral part of a dedicated team committed to delivering exceptional service to our orthopaedic practice patients . Your expertise will help streamline billing processes, improve cash flow, and support our mission to provide outstanding patient care through efficient administrative practices.

Benefits:

401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person