Medical Collections Specialist

Medical Collections Specialist

Mount Yonah Medical Billing (MYMB) Location: Doraville, GA 30360 Employment Type: Full-Time | In Office Schedule: MondayFriday, 8:30 AM5:00 PM Pay: $17.00$19.00 per hour (based on experience)

About Mount Yonah Medical Billing

Mount Yonah Medical Billing (MYMB) is a rapidly growing third-party medical billing company specializing in behavioral healthcare revenue cycle management, with expertise in substance use disorder and mental health billing. Our mission is to help healthcare providers maximize reimbursement while maintaining the highest standards of compliance and customer service.

As our company continues to expand, we are seeking a motivated and detail-oriented Medical Collections Specialist to join our collaborative team. This is an excellent opportunity for someone looking to build a long-term career in medical billing with opportunities for advancement into leadership.

Position Summary

The Medical Collections Specialist is responsible for managing assigned accounts receivable by following up with insurance companies to ensure timely payment of medical claims. This role plays a critical part in reducing aging accounts receivable, resolving claim issues, and maximizing reimbursement through effective insurance follow-up and denial resolution.

The ideal candidate is organized, analytical, and thrives in a fast-paced healthcare billing environment.

Minimum Qualifications

• High school diploma or GED required
• Minimum of one (1) year of recent experience in medical collections, insurance follow-up, medical billing, or healthcare accounts receivable required
• Associate degree preferred
• Experience with behavioral health, mental health, or substance abuse billing preferred
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines
• Working knowledge of CPT, ICD-10-CM, HCPCS, and medical terminology
• Experience using electronic medical records (EMR) and medical billing software
• Strong proficiency with Microsoft Office, including Excel and Outlook
• Ability to work full-time in our Doraville office

Preferred Software Experience

• CollaborateMD
• Kipu EMR
• Availity

Essential Responsibilities

• Review and manage assigned accounts receivable to identify unpaid, denied, or underpaid insurance claims
• Contact commercial insurance carriers, Medicare, Medicaid, and other third-party payers regarding claim status
• Investigate claim denials and determine the appropriate corrective action
• Submit corrected claims, appeals, reconsiderations, and supporting documentation when necessary
• Follow up on outstanding claims according to payer guidelines and company standards
• Verify payments, contractual adjustments, write-offs, and reimbursement accuracy
• Maintain detailed and accurate account documentation within the billing system
• Work aging reports to meet collection and productivity goals
• Collaborate with Billing, Appeals, Payment Posting, and other internal departments to resolve claim issues
• Identify denial trends and communicate recurring issues to leadership
• Maintain HIPAA compliance and adhere to all federal, state, and payer regulations
• Participate in departmental meetings, training, and continuous process improvement initiatives

Skills & Competencies

• Insurance claims follow-up
• Medical collections and accounts receivable management
• Denial management and appeals
• Strong analytical and problem-solving abilities
• Excellent written and verbal communication skills
• Exceptional attention to detail
• Strong organizational and time-management skills
• Ability to prioritize multiple deadlines
• Ability to work independently and collaboratively within a team
• Customer service and professional communication skills

Performance Expectations

• Meet established daily, weekly, and monthly productivity goals
• Maintain accurate and complete account documentation
• Reduce aging accounts receivable within assigned inventory
• Ensure compliance with HIPAA and payer regulations
• Contribute to continuous improvement of billing and collection processes

Why Join Mount Yonah Medical Billing?

At MYMB, we invest in our employees and believe in promoting from within. You'll join a supportive team that values collaboration, professional development, and long-term career growth.

We Offer

• Competitive hourly pay based on experience
• Paid training
• Performance bonus opportunities after 90 days
• Health insurance after 90 days
• Dental, vision, and life insurance after 90 days
• Paid Time Off (PTO)
• 401(k)
• Opportunities for advancement into leadership
• Stable MondayFriday schedule with evenings and weekends off
• Supportive, team-oriented work environment

Benefits

• 401(k)
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Paid Time Off (PTO)
• Paid Training
• Performance Bonus Opportunities

Join Our Team

If you're looking for a stable career with a growing healthcare organization where your work directly impacts revenue and patient care, we'd love to hear from you.

Apply today and become part of Mount Yonah Medical Billing's growing team!