Medical Collections Specialist

Medical Collections Specialist

The Medical Collections Specialist role (located in Tracy, CA) is a full-time, on-site position focused on resolving unpaid claims, managing patient/insurance accounts, and processing payments.

Core Responsibilities:

• Insurance Follow-up: Contacting insurance companies (HMOs/PPOs) and following up on past-due, unpaid, or denied medical claims.
• Patient Collections: Assisting patients with outstanding balances, establishing payment arrangements, and updating demographics or insurance information.
• Document Management: Researching and resolving open accounts, entering Explanation of Benefits (EOB) data, and submitting corrected claims.
• Medical Review: Reading and interpreting medical records to determine the correct Medicare criteria and billing codes.

Qualifications & Requirements Include:

• Experience: 1 to 2 years minimum of medical collections or billing experience.
• Knowledge: Familiarity with EOBs, HMOs, PPOs, and Medicare criteria.
• Computer Skills: Typing speed of 30 to 45 words per minute, and familiarity with Medicare IVR systems or similar billing software.
• Soft Skills: Strong interpersonal communication, negotiation, and detailed organizational skills.
• Must be at least 18 years old and able to show proof of eligibility to work in the U.S.
• Must be willing to submit to a pre-employment background check and drug screening

Compensation & Benefits:

• Pay: $17.00 to $25.00 per hour, with substantial overtime and bonus opportunities.
• Benefits: Comprehensive package including medical, dental, vision, life insurance, HSA/FSA, a 401(k), and paid time off (vacation and sick leave)