Medical Collections Specialist

About Atrium:

Client Overview:

Our client is a home health organization seeking an experienced Medical Collections Specialist to support its revenue cycle team. This role focuses heavily on insurance collections, claims follow-up, denial resolution, payer portal communication, and accounts receivable functions within the healthcare space.

Salary/Hourly Rate:

$28/hr

Position Overview:

The Medical Collections Specialist will be responsible for managing insurance-related collections, following up on outstanding claims, resolving denials, and communicating directly with insurance companies through payer portals, phone, and electronic messaging systems. This position requires strong experience in hospital or medical collections, specifically within revenue cycle accounts receivable. The ideal Medical Collections Specialist will have hands-on experience working claims from beginning to end, understanding payer requirements, managing denials, and ensuring timely reimbursement. This role plays a critical part in maintaining healthy cash flow and supporting overall revenue cycle performance.

Responsibilities of the Medical Collections Specialist:

• Manage insurance collections and follow up on outstanding medical claims.
• Communicate directly with insurance companies regarding claim status, denials, underpayments, and outstanding balances.
• Utilize payer portals to submit inquiries, send messages, track claim updates, and resolve claim issues.
• Review and research denied, rejected, or unpaid claims to determine appropriate next steps.
• Work various types of claims and denials within the healthcare revenue cycle process.
• Support end-to-end accounts receivable functions, including claims follow-up, payment tracking, denial review, and reimbursement resolution.
• Identify trends in denials or payment delays and escalate issues as needed.
• Maintain accurate documentation of collection activity, payer communication, claim status, and resolution steps.
• Collaborate with internal billing, revenue cycle, and administrative teams to ensure accurate and timely collections.
• Ensure compliance with company policies, payer guidelines, and healthcare billing standards.

Required Experience/Skills for the Medical Collections Specialist:

• Prior hospital, medical, or healthcare collections experience is required.
• Experience with insurance collections and direct payer follow-up is required.
• Strong knowledge of medical claims, denials, reimbursement processes, and accounts receivable.
• Experience working in revenue cycle management within a hospital, medical, or healthcare environment.
• Ability to work claims from end to end, including follow-up, denial review, payer communication, and resolution.
• Experience using payer portals for messaging, claim status checks, and issue resolution.
• Strong communication skills with the ability to interact professionally with insurance companies and internal teams.
• High attention to detail and strong organizational skills.
• Ability to manage multiple claims, priorities, and payer requirements in a fast-paced environment.

Preferred Experience/Skills for the Medical Collections Specialist:

• Home health, hospital, or physician practice billing and collections experience.
• Experience handling multiple payer types and various denial categories.
• Familiarity with healthcare billing systems, electronic claim platforms, and payer portals.
• Strong understanding of revenue cycle accounts receivable best practices.
• Ability to identify denial trends and assist in improving collection outcomes.

Education Requirements:

• High school diploma or equivalent required.
• Associate degree or additional coursework in healthcare administration, billing, coding, or revenue cycle management preferred.

Benefits:

• Benefits will be discussed during the hiring process and may become available upon conversion to a permanent employee, based on company policy.
• Temp-to-hire opportunity.

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As a woman-owned firm, we value diversity. We are an equal opportunity and affirmative action employer and will consider all applications without regard to race, sex (including gender, pregnancy, sexual orientation and gender identity), age, color, religion or creed, national origin or ancestry, veteran status, disability (physical or mental), genetic information, citizenship or any other characteristic protected by law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Candidates who apply for roles through the Atrium website will be added to our candidate pool and may be considered for additional roles of a similar title. Please contact us to request an accommodation.
EOE/M/F/D/V/SO