Medical Collections Specialist
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Robert Half
Shrewsbury, MA (In Person)
Full-Time
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Job Description
Robert Half Medical Collections Specialist Shrewsbury, MA Apply Description We are looking for a Medical Collections Specialist to support revenue cycle performance by managing insurance follow-up and resolving outstanding account issues. This position plays an important role in reducing aged receivables, addressing claim obstacles, and helping maintain accurate reimbursement activity. Based in Shrewsbury, Massachusetts, the role is well suited for someone who is detail-oriented, organized, and comfortable working across billing platforms and payer resources.
Responsibilities:
- Monitor unpaid insurance claims and take timely action to advance accounts toward resolution and payment.
- Manage billing and follow-up activities for assigned payer accounts, ensuring all claims are worked accurately and consistently.
- Investigate billing variances and payment discrepancies, then complete the necessary corrections to support proper reimbursement.
- Identify rejected claims quickly, determine the cause, and complete corrective steps to prevent delays in claim submission or reprocessing.
- Use clearinghouse tools to review claim activity and track submission issues, with familiarity in Waystar considered highly beneficial.
- Navigate payer web portals to verify claim status, review remittance details, and complete required follow-up actions.
- Participate in recurring accounts receivable review meetings and provide updates on account progress, trends, and barriers to payment.
- Maintain clear and accurate documentation within billing or medical record systems to support account history and collection efforts. Immediate needs here! Please reach out ASAP to me directly, Eric Lebow 508-205-2127 Requirements
- At least 2 years of experience in medical collections, insurance follow-up, or healthcare accounts receivable.
- Working knowledge of medical billing, insurance claims, and third-party reimbursement processes.
- Experience handling commercial, consumer, or government-related collections, including Medicaid billing activities.
- Proficiency using electronic medical record systems and other healthcare billing platforms.
- Ability to work effectively within clearinghouses and payer portals to research claims and payment activity.
- Strong attention to detail with the ability to identify discrepancies and follow through on account resolution.
- Clear written and verbal communication skills, with the ability to manage multiple accounts and priorities efficiently.
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