Medical Billing Collections Specialist

Position Responsibilities

• Review and work accounts receivable (A/R) aging reports and follow up on outstanding balances
• Perform insurance follow-up and identify reasons for unpaid or delayed claims
• Research and resolve claim denials, rejections, underpayments, and payment discrepancies
• Work closely with the coding team to resolve coding-related issues affecting reimbursement
• Communicate with insurance companies regarding claim status, payment, and outstanding balances
• Identify accounts that require additional follow-up or escalation
• Coordinate with the third-party collection agency on appropriate patient accounts
• Monitor accounts placed with the collection agency and assist with related documentation or questions
• Review patient and insurance balances for accuracy
• Post and reconcile payments as needed
• Maintain accurate documentation of collection and follow-up activities
• Assist with other A/R and revenue cycle responsibilities as needed
• Follow HIPAA and company policies regarding patient information and financial records

Qualifications

• Previous experience in medical billing, insurance follow-up, A/R, or collections required
• Experience working with medical A/R aging reports
• Knowledge of insurance claims, denials, appeals, and reimbursement processes
• Strong attention to detail and organizational skills
• Ability to identify and resolve billing and payment issues
• Comfortable communicating with insurance companies and internal departments
• Ability to work independently while also collaborating effectively with the coding and billing teams
• Experience in a physician practice or specialty medical office preferred
• Rheumatology, endocrinology, or other specialty-practice experience is a plus
• Familiarity with eClinicalWorks is a plus

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance