Medical Collections Specialist

Job Description

Job Description

We are looking for a Medical Collections Specialist to join a healthcare team in Westerville, Ohio in a contract-to-permanent role. This position focuses on resolving patient account balances with a service-oriented approach while ensuring billing and collections activities are handled accurately and efficiently. The ideal candidate will be comfortable researching account issues, guiding patients through financial responsibilities and coverage questions, and collaborating across departments to support a positive patient experience.

Responsibilities:
• Manage outstanding patient balances by reviewing accounts, taking timely collection actions, and helping reduce aging receivables.
• Speak with patients about billing obligations, insurance benefits, coverage limitations, and available payment arrangements in a clear and respectful manner.
• Investigate account discrepancies, resolve claim-related concerns, and initiate refund requests when account reviews support reimbursement.
• Maintain and monitor payment plans to confirm compliance with established terms and follow up when payments fall behind.
• Update account records by correcting guarantor information, addressing registration-related errors, and revising insurance details as needed.
• Escalate delinquent balances to outside collection partners when internal efforts have been exhausted and placement criteria are met.
• Review specialized account situations, including bankruptcy filings and deceased patient accounts, and process them according to policy.
• Partner with scheduling and internal staff to clarify network participation, reimbursement guidelines, and other insurance-related questions that affect account handling.
• Contribute to team effectiveness by sharing knowledge, assisting with coverage needs, and offering practical ideas that improve workflow and service quality.• At least 2 years of experience in medical collections, healthcare billing, or a closely related revenue cycle role.
• Working knowledge of medical insurance, patient financial responsibility, denials, appeals, and account follow-up practices.
• Ability to research and resolve billing or accounts receivable issues with strong attention to detail and accuracy.
• Experience communicating with patients and coworkers in a calm, detail-focused, and customer-focused manner.
• Familiarity with payment plans, collection workflows, refunds, and account documentation standards.
• Strong problem-solving skills with the ability to manage sensitive conversations and de-escalate challenging situations.
• Comfortable collaborating with cross-functional teams to support efficient operations and a high-quality patient experience.