Collections Specialist

About the role

We are seeking a Collections Specialist to manage aged accounts receivable for a hospital/clinic. The role involves contacting patients and insurers, resolving claim denials, and supporting the billing team to ensure timely revenue collection.

Key responsibilities

• Monitor and manage aged patient and insurance balances.
• Contact patients, insurance companies, and third‑party payers via phone, email or written correspondence to collect overdue balances.
• Review, appeal and resolve claim denials and underpayments.
• Collaborate with the billing team to ensure accurate claim submissions and address billing discrepancies.
• Educate patients on their balances, insurance coverage and payment plan options.
• Document all collection activities in the electronic health record (EHR) or billing system.
• Achieve departmental productivity and collection targets while staying current on payer guidelines and regulations (HIPAA, FDCPA).

Required profile

• High school diploma or GED; associate degree in Accounting, Business or Healthcare Administration preferred.
• 1–2 years of experience in medical collections, healthcare billing or a similar role.
• Strong communication, negotiation and problem‑solving abilities.
• Ability to manage multiple accounts and prioritize tasks in a fast‑paced environment.

Required skills

• Experience with EHR and billing systems such as Epic, Cerner or Meditech.
• Basic knowledge of CPT and ICD‑10 coding.
• Understanding of insurance claims processes and third‑party payer requirements.