Medical Accounts Receivable Specialist Insurance Follow-Up &Collection

Job Description

Job Description

Location: 113 Crossways park drive, Woodbury NY
Job Type: Full-Time
Compensation: $50,000–$60,000 per year 

Position Summary  

Integrated ENT Allergy & Immunology is seeking a motivated, detail-oriented Medical

Collector/Biller to join our Revenue Cycle team. The Medical Collector is responsible for

managing outstanding insurance and patient accounts, resolving billing discrepancies,

appealing denied claims, and ensuring timely reimbursement while delivering exceptional

Customer Service. The ideal candidate possesses strong analytical, communication, and

Problem-solving skills and thrives in a fast-paced healthcare environment. 

Key Responsibilities

• Monitor and follow up on outstanding insurance claims and patient account

balances to ensure timely reimbursement. 

• Contact insurance carriers regarding claim status, payment delays, denials,

underpayments, and reimbursement discrepancies. 

• Research, investigate, and resolve denied, rejected, or underpaid claims in

accordance with payer guidelines. 

• Prepare and submit claim appeals with all required supporting documentation. 

• Review Explanation of Benefits (EOBs), remittance advice, and payer

correspondence to identify and resolve payment issues. 

• Communicate professionally with patients regarding outstanding balances,

insurance coverage, and payment responsibilities. 

• Establish payment arrangements with patients in accordance with company

policies. 

• Accurately document all collection activities, communications, and account

updates within the billing system. 

• Collaborate with Medical Billers, providers, and administrative staff to resolve

account discrepancies and improve reimbursement outcomes. 

• Maintain assigned accounts with receivable work queues while meeting

productivity and collection goals. 

• Identify billing trends and recurring payer issues and communicate findings to

leadership. 

• Ensure compliance with HIPAA, federal and state regulations, payer requirements,

and company policies. 

• Maintain strict confidentiality of all patients, financial, and organizational

information. 

• Perform additional revenue cycle and collection of duties assigned. 

Required Qualifications  

• Associate degree in Business Administration, Healthcare Administration,

Accounting, or a related field preferred, or an equivalent combination of education

and experience. 

• Previous experience in medical collections, medical billing, accounts receivable, or

healthcare revenue cycle operations preferred. 

• Knowledge of Medicare, Medicaid, commercial insurance plans, and medical

claims processing. 

• Basic proficiency with electronic medical record (EMR) systems, billing software,

and Microsoft Office applications. 

• Strong understanding of insurance billing procedures, collections processes, and

Reimbursement practices. 

• Ability to interpret Explanation of Benefits (EOBs) and insurance remittance advice. 

• Excellent organizational skills with the ability to manage multiple priorities

simultaneously. 

Knowledge, Skills & Competencies

• Strong verbal and written communication skills. 

• Exceptional customer service and interpersonal skills. 

• Excellent analytical and problem-solving abilities. 

• High level of accuracy and attention to detail. 

• Ability to prioritize tasks and meet deadlines in a fast-paced healthcare

environment. 

• Ability to work independently while contributing effectively as part of a collaborative

Team. 

• Professional judgment when handling confidential patient and financial

information. 

• Strong negotiation and conflict-resolution skills. 

• Commitment to providing outstanding service while maintaining professionalism

and empathy during patient interactions.