Medical Collections Specialist

Medical Collections Specialist Job Description The Collections Specialist plays a key role in managing patient accounts and reducing aging receivables by proactively contacting patients, reviewing account and insurance information, and resolving outstanding balances. This position focuses on medical collections in a fast‑paced, patient‑centered environment, ensuring accuracy, professionalism, and compliance with privacy regulations while supporting the overall financial health of the organization. Responsibilities Monitor and follow up on aging receivables, including accounts that are 31, 61, 91, and 121+ days past due. Conduct mostly outbound calls to patients regarding outstanding balances and past‑due accounts, averaging approximately 60+ calls per day. Review patient accounts, insurance payments, and explanations of benefits (EOBs) to ensure balances are accurate and properly applied. Explain account status, payment options, and available financial assistance programs to patients in a clear and professional manner. Document all patient interactions, account notes, and updates thoroughly within the electronic health record (EHR) system. Track outreach efforts, follow‑up activities, and account resolution through reporting tools and established workflows. Escalate complex, disputed, or unresolved accounts to appropriate team members or leadership when necessary. Work cross‑functionally with Patient Financial Services, billing, and other internal teams to identify and resolve account discrepancies. Ensure strict compliance with HIPAA and maintain patient confidentiality in all communications and record‑keeping. Perform account reconciliation, balance audits, and adjustments as needed to maintain accurate financial records. Analyze EOBs and claims data to identify issues, trends, and opportunities for improved collections processes. Manage multiple priorities and accounts simultaneously while maintaining organization and meeting productivity expectations. Provide high‑level customer service during collection calls, addressing patient questions and concerns with empathy and professionalism. Support additional responsibilities and projects as assigned to contribute to the overall success of the Patient Financial Services team. Essential Skills High school diploma is required. At least 2+ years of medical collections experience, preferably in a clinical or healthcare setting. Experience with collection calls and call center or high‑volume outbound calling environments. Proficiency with electronic health record (EHR) or electronic billing systems; experience with ModMed is beneficial, though other EHR experience is acceptable. Strong understanding of insurance coverage, benefits, medical terminology, and medical billing processes. Solid knowledge of billing procedures, account reconciliation, and insurance workflows across commercial and non‑commercial payors. Accounting knowledge or experience performing balance audits, adjustments, and account reviews. Ability to review, interpret, and analyze explanations of benefits (EOBs) and claims data to resolve account issues. Proficiency with Microsoft Office, including strong skills in Excel for filtering, formatting, and preparing data. Excellent communication skills, both written and verbal, with a high level of professionalism in patient and team interactions. Strong relationship‑building skills with the ability to collaborate and influence across cross‑functional teams. Proven ability to manage multiple priorities and remain organized in a fast‑paced environment. Strong problem‑solving and analytical skills to address complex account issues and identify resolutions. High attention to detail, strong time management, and self‑discipline to meet productivity and quality standards. Additional Skills & Qualifications Orthopedic or specialty practice medical collections experience is a plus. Experience working with billing and accounts receivable for both commercial and non‑commercial payors. Comfort working in a collections‑focused customer service role, handling sensitive financial conversations with patients. Interest in continuing education, leadership training, and career development within the healthcare and patient financial services space. Ability to contribute ideas and participate in collaborative, innovative initiatives related to musculoskeletal (MSK) health and transformative healthcare solutions. Commitment to lifelong learning and staying current with evolving billing practices, insurance workflows, and healthcare technologies. Work Environment This is an onsite role based in Bethesda, working five days per week within the Patient Financial Services team. Standard schedules are either 8:30 a.m. to 5:00 p.m. or 8:00 a.m. to 4:30 p.m., providing a consistent daytime work structure. Job Type & Location This is a Contract position based out of Bethesda, MD. Pay and Benefits The pay range for this position is $20.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long‑term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Bethesda, MD. Application Deadline This position is anticipated to close on Jun30,2026. Equal Opportunity Employer The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. Reasonable Accommodation If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please contact the company by email at the provided address. San Francisco Fair Chance Ordinance Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #J-18808-Ljbffr