Medical Collections Specialist (In Person Position)

Job Description

🏥 Medical Collections Specialist (In Person Position) 📍 Glen Burnie, MD 🕒 Full Time | Monday through Friday | 8:00 AM to 4:30 PM in office 🏢 Pivotal Health Pivotal Health is seeking a motivated and detail oriented Medical Collections Specialist to join our 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. What You Will Do: ⭐ 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 What We Are Looking For: ✔ 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