Medical Collections Specialist

Job Description

Job Overview - Medical Collections Specialist
Compensation: $27/hour
Location: Philadelphia, PA (In-Office)
Schedule: Monday to Friday


TAG MedStaffing is hiring a Medical Collections Specialist in Philadelphia, PA for our client, supporting insurance collections, claims follow-up, and revenue cycle operations within a physician practice environment. This role focuses on resolving outstanding claims, managing denials, and ensuring timely reimbursement from insurance carriers. The position offers the opportunity to work in a high-volume healthcare setting with a strong emphasis on accuracy and efficiency.


Responsibilities as the Medical Collections Specialist:

• Claims Follow-Up: Monitor and follow up on outstanding insurance claims to ensure timely payment.
• Denial Management: Analyze denied claims and take corrective action.
• Appeals Processing: Prepare and submit appeals to insurance carriers.
• Payment & Refund Processing: Support payment posting, reconciliations, and refunds.
• Coding & Documentation: Apply CPT/ICD-10 knowledge and maintain accurate records.
• Compliance: Ensure adherence to healthcare regulations and confidentiality standards.

Qualifications for the Medical Collections Specialist:

• Education: High school diploma or equivalent is required.
• Experience: Prior medical collections experience within a physician practice is required.
• Industry Knowledge: Strong understanding of EOBs, insurance claims, and denial workflows is required.
• Technical Skills: Experience with EMR/PM systems (NextGen preferred) and proficiency in Microsoft Office is required.
• Skills & Attributes: Strong attention to detail, communication skills, and ability to multitask in a fast-paced environment are required.

Application Notice: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, TAG MedStaffing will keep your resume on file for future opportunities and may contact you for further discussion.