Medical Billing Specialist - Follow-Up & Collections III/IV

This is an evergreen posting for an experienced medical billing and collections professional to support PHI Health's air medical revenue cycle operations. The role manages patient accounts from resubmission through final resolution, performs collection follow-up, identifies and addresses denials, drafts appeal letters, and works payer issues through resolution. The position also supports patient account balance resolution, insurance follow-up, contractual compliance, and coordination with internal teams and external payers.

Key responsibilities include:

• Manage patient accounts through final resolution and perform collection activities
• Contact insurers to obtain timely payments and escalate issues when needed
• Review payer contracts, fee schedules, enrollment requirements, and reimbursement issues
• Draft correspondence and first-level appeal letters for technical denials
• Handle patient calls regarding balances, payment plans, discounts, and charity review
• Research and resolve payment issues, denials, underpayments, and correspondence
• Perform account review tasks such as skip tracing, secondary billing, payment review, and demographic updates
• Verify insurance coverage, prior authorization, third-party liability, and coordination of benefits
• Review explanation of benefits for contractual compliance and patient responsibility
• Support and train billing staff and serve as a resource to management
• Help maintain production standards and compliance with billing policies and CMS guidelines