Medical Collector

Butterfly EffectsDeerfield Beach, FL
20h

About The Position

As a Medical Collections Specialist, you will support our national collections efforts with a focus on accuracy, professionalism, and responsiveness. You'll manage assigned accounts, research and resolve denied or underpaid claims, and maintain compliance with payer guidelines and HIPAA regulations. This role requires a highly organized and detail-oriented individual with strong problem-solving skills and a collaborative mindset.

Requirements

  • High School Diploma or GED required.
  • 1-2 years of experience in medical billing and/or collections.
  • Strong understanding of claim denials, EOBs, and medical billing processes.
  • Excellent verbal and written communication skills.
  • Strong attention to detail and organizational skills.
  • Self-motivated, accountable, and team-oriented.
  • Critical thinker with a desire for process improvement.

Nice To Haves

  • Familiarity with ABA therapy or behavioral health billing preferred.

Responsibilities

  • Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments.
  • Research claims using insurance portals, Central Reach, and EOBs to determine resolution paths.
  • Review clearinghouse activity for denials and manage resubmissions or corrections.
  • Collaborate with the billing team to correct and resubmit denied claims due to billing errors.
  • Identify timesheet, coding, or documentation issues, and escalate for resolution.
  • Track and report payer trends, recurring denials, or discrepancies; recommend action plans to management.
  • Respond to incoming calls and correspondence from payers regarding account status.
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