Medical Collections Specialist
Job Description
Job Description
We are looking for a detail-oriented Medical Collections Specialist to support revenue cycle efforts for a healthcare organization in Henrico, Virginia. This Long-term Contract position focuses on resolving outstanding patient and insurance balances, reviewing claim issues, and helping improve reimbursement outcomes. The ideal candidate brings hands-on experience in medical billing, denials management, appeals, and insurance follow-up, along with proficiency in eClinicalWorks.
Responsibilities:• Pursue outstanding insurance and patient accounts by conducting timely follow-up and documenting all collection activity accurately.
• Investigate unpaid or underpaid claims to identify billing discrepancies, denial causes, and reimbursement obstacles.
• Prepare and submit claim reconsiderations and appeals with supporting documentation to maximize payment recovery.
• Work closely with billing and internal revenue cycle teams to correct account issues and move claims toward resolution.
• Review insurance responses, payment postings, and account histories to determine next steps for collection efforts.
• Maintain accurate records in eClinicalWorks and ensure account notes reflect current status and actions taken.
• Communicate professionally with payers, patients, and internal stakeholders regarding balances, claim status, and account resolution.
• Monitor aging reports and prioritize accounts that require immediate follow-up to reduce outstanding receivables.• Experience in medical collections within a healthcare or medical office environment.
• Working knowledge of medical billing processes, insurance claim follow-up, and reimbursement practices.
• Ability to manage denied claims and prepare effective medical appeals based on payer requirements.
• Familiarity with medical insurance guidelines, coverage verification, and payment resolution procedures.
• Proficiency in using eClinicalWorks or a comparable electronic medical records and practice management system.
• Strong attention to detail with the ability to maintain accurate account documentation and records.
• Effective communication and organizational skills for handling multiple accounts and payer interactions efficiently.
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