Job Summary We are seeking a proactive and detail-oriented Collections Specialist to join our dynamic Medical Billing team. In this role, you will be responsible for managing delinquent accounts, negotiating repayment plans, and working accounts receivables for multiple providers. Your expertise in insurance collection, customer service, and EMR software will drive successful recovery efforts while maintaining positive client relationships. This position offers an exciting opportunity to contribute to the revenue cycle management process and uphold consumer protection laws through diligent account management and effective communication.

Duties Claim Follow-Up:

Review aging reports and contact commercial payers, Medicare, and Medicaid regarding unpaid or underpaid claims.

Denial Management:

Investigate, resubmit, and appeal rejected or denied claims with supporting clinical or administrative documentation.

Patient Collections:

Communicate empathetically with patients regarding self-pay balances, deductibles, and structured payment plans.

Payment Analysis:

Interpret Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) documents to reconcile discrepancies.

Compliance & Documentation:

Maintain detailed account logs while strictly adhering to HIPAA, FDCPA, and state-specific healthcare regulations. Qualifications Proven experience in medical collections, accounts payable, or accounts receivable within a healthcare setting. 3 years of experience with in and out-of-network claims. Strong familiarity with medical terminology, coding standards (CPT, ICD-10), and EOB/ERA processing Professional negotiation, clear phone communication, and dedicated customer service capabilities Join our team as a Collections Specialist if you're passionate about making a difference through diligent account management.

Pay:

From $25.50 per hour Expected hours: 37.5 per week

Work Location:

In person