Medical Collections Specialist

Medical Collections Specialist Job Description Template

Our company is looking for a Medical Collections Specialist to join our team.

Responsibilities:

  • Understanding the difference between Medicare and Medicare Advantage;
  • Knowledge navigating payer portals;
  • Epic experience is a plus;
  • Follow up with payers regarding denials and how to research and work appeals;
  • Strong understanding interpreting managed care (commercial) contracts;
  • Checking claims status;
  • Account Receivable on insurance accounts (Medicare, Medicaid, Commercial Insurance);
  • Process claim denials and appeals;
  • Investigate what can be done to get the claim paid.

Requirements:

  • Must have previous collections experience;
  • Medical terminology is a plus;
  • Must have great written and verbal communication skills.