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Medical Collections Specialist

PHYSICIANS MANAGEMENT SOLUTIONS

A busy multi-specialty medical billing company is seeking a motivated and detail-oriented Medical Collector to join the team. The role is responsible for following up on outstanding insurance and patient accounts, resolving unpaid and denied claims, and helping maintain a healthy accounts receivable balance.

The ideal candidate has experience with medical collections, understands insurance claims and EOBs, and is comfortable communicating professionally with insurance companies and patients.

Requirements & Qualifications

• Follow up on outstanding medical claims and accounts receivable. • Contact insurance companies regarding unpaid, denied, or underpaid claims. • Review EOBs and payment information to identify discrepancies and determine appropriate follow-up. • Research and resolve claim denials, billing issues, and payment delays. • Contact patients regarding outstanding balances when necessary. • Verify insurance information and identify responsible payers. • Maintain accurate and timely notes on all collection activities. • Monitor aging reports and prioritize accounts based on balance and age. • Communicate with insurance companies, patients, clients, and internal billing staff to resolve account issues. • Maintain patient confidentiality and comply with HIPAA regulations. • High school diploma or equivalent. • Minimum 3 years of medical collection experience. • Experience with EPIC, eClinical Works, Athena Health, and Tebra practice management and EHR billing software preferred. • Experience with Medicare, Illinois Medicaid, and commercial insurances. • Knowledge of insurance claims, EOBs, denials, and payment processes. • Knowledge of CPT, ICD-10, and basic medical terminology is a plus. • Strong verbal and written communication skills. • Excellent attention to detail and organizational skills. • Ability to manage multiple accounts and meet deadlines. • Ability to maintain a professional, effective, and courteous manner when communicating. • Basic computer skills and experience with Microsoft Office. • Ability to work independently and as part of a team.

Benefits & Perks

• Competitive salary • Medical, dental, and vision insurance available after 30 days of employment • PTO begins accruing after 6 months of employment • 401(k) eligibility after 1 year of employment

Location

Illinois, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

1 month ago

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