Medical Collector

Job Description Job Description We are seeking an experienced Medical Collections Specialist / Revenue Cycle Specialist to manage outstanding accounts receivable, follow up on unpaid claims, and ensure timely reimbursement from insurance carriers and patients.
This role is critical to maintaining cash flow and requires strong knowledge of insurance processes, denial management, and payer communication.
Key Responsibilities
Follow up on outstanding insurance claims (Medicare, commercial, and secondary payers)
Work denied or underpaid claims and initiate appeals when necessary
Contact insurance companies via phone portals and online systems
Analyze Explanation of Benefits (EOBs) and Remittance Advice (ERA)
Resolve billing discrepancies and payment issues
Maintain accurate documentation of all follow-up activity
Communicate with internal team regarding account status
Meet productivity and collection targets
Qualifications
Minimum 2+ years of medical collections or revenue cycle experience
Strong knowledge of: Medicare guidelines
Commercial insurance billing
Denial management and appeals

Experience with EMRs such as: Office Ally, MD Suite, or similar systems

Ability to read and interpret EOBs/ERAs
Strong phone communication and follow-up skills
Detail-oriented and highly organized
Preferred (Not Required)
Experience with specialty billing (wound care, surgical, etc.)
Knowledge of Medicare audits or compliance
Certification (CPB, CPC, etc.)