Medical Collections Specialist (In Person Position)

Medbridge Healthcare•Glen Burnie, MD

10d•Onsite

About The Position

Pivotal Health is seeking a motivated and detail-oriented Medical Collections Specialist to join their growing healthcare team in Glen Burnie, Maryland. This role is ideal for someone who enjoys problem-solving, working with insurance carriers, and helping drive the success of the revenue cycle process in a fast-paced healthcare environment. As a Medical Collections Specialist, you will play a key role in resolving claim denials, researching account issues, communicating with insurance carriers, and ensuring claims are processed accurately and efficiently.

Requirements

Minimum of 1 year of medical collections or medical billing experience
Understanding of medical terminology and insurance payors
Strong critical thinking and problem solving skills
Excellent written and verbal communication skills
Strong organizational and time management abilities
Ability to work independently with minimal supervision
Team player with a positive and professional attitude
Ability to thrive in a fast paced healthcare environment

Responsibilities

Monitor and follow up on outstanding insurance claims
Research and resolve claim denials and rejections
Submit appeals electronically and through paper submissions
Communicate directly with insurance companies to resolve billing issues and secure reimbursement
Respond to patient and insurance billing inquiries professionally and efficiently
Identify reimbursement trends and carrier issues and report findings to leadership
Work closely with providers to clarify incomplete or missing claim information
Utilize billing systems effectively to maximize workflow and claim processing efficiency