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Medical Collections Specialist
Career Insights for Healthcare Account Representative
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Scorecard
Based on Maryland data
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What they do
A Healthcare Account Representative manages client accounts for a life sciences or healthcare company. Develops and maintains communication with company clients, promotes sales and services, and works to resolve problems
$103,075 / year median in Maryland
+5% projected growth
Job Description
Medical Collections Specialist
We are looking for a Medical Collections Specialist to support revenue cycle efforts for a healthcare practice in Bethesda, Maryland. This Long-term Contract position focuses on resolving outstanding patient account balances, communicating clearly with patients regarding amounts due, and helping maintain timely collections activity. The ideal candidate brings hands-on experience in medical accounts receivable follow-up, insurance-related billing issues, and a strong understanding of healthcare payment processes.
Responsibilities:
- Contact patients regarding overdue account balances and guide them through payment options, account status, and next steps.
- Review accounts receivable aging reports to identify collection priorities and follow up on outstanding medical balances in a timely manner.
- Investigate unpaid or underpaid claims by working through billing issues, denial details, and reimbursement discrepancies.
- Prepare and submit appeals or supporting documentation to address claim denials and pursue appropriate payment resolution.
- Document all collection activity, patient communication, and account updates accurately within the practice management system.
- Work within Modernizing Medicine (ModMed) to manage account follow-up, review billing information, and update collection notes.
- Coordinate with internal billing or administrative staff to resolve account questions and support efficient payment recovery.
- Experience in medical collections with direct responsibility for patient account follow-up and accounts receivable resolution.
- Working knowledge of medical billing processes, including insurance verification, claim status review, and payment posting concepts.
- Familiarity with medical denials management and the ability to research and address reimbursement issues.
- Experience preparing or supporting medical appeals for unpaid or disputed claims.
- Understanding of medical insurance plans, payer requirements, and common reimbursement workflows.
- Proficiency using healthcare billing or practice management systems; experience with Modernizing Medicine (ModMed) is strongly preferred.
- Strong communication skills with the ability to speak professionally and effectively with patients about financial matters.