The Medicare Collections Specialist supports the revenue cycle process and is responsible for the timely collection of payments from third-party payers, including Medicare, Medicaid, private insurance, and other funding sources.
In this role, you will manage assigned accounts, follow up on unpaid claims, investigate denials, coordinate with billing staff and funding consultants, review posted payments for accuracy, prepare correspondence and appeals, document collection activity, and help resolve refund and adjustment issues.
The position also requires ongoing communication with insurance companies, clients, vendors, and internal teams to ensure accounts are collected in accordance with payer requirements and regulations.
High school diploma.
2 or more years of experience in one or more of the following:
- Computer work
- Accounting
- Collections
- High-volume medical billing
- Insurance claims processing
Preferred qualifications:
- Knowledge of payment posting, contractual adjustments, and refunds
- Knowledge of medical insurance claims procedures and documentation
- Strong customer service and interpersonal skills
- Effective oral and written communication skills
- Teaming and collaboration skills
- Proficiency in Microsoft Office, Word, Excel, and Outlook
- Ability to research claim information online
- Basic data and word processing skills
- Ability to use independent judgment and handle confidential information
- Ability to gather, summarize, and organize data
- Strong time management, organizational, and problem-solving skills
- Record management experience
Not specified.
Employer emphasizes a collaborative, inclusive work culture and equal opportunity employment.
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago