Medical Collections Specialist
- Deerfield Beach, FL
- $20.00-25.00 per hour
- Permanent
- Full-time
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.Key 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.
- 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.
- Familiarity with ABA therapy or behavioral health billing preferred.