Collections Specialist

OrthoAtlanta; Fayetteville (GA); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive benefits

On-site work environment

Job summary

OrthoAtlanta in Fayetteville, GA is seeking a Collections Specialist to ensure timely reimbursement for services by managing insurance accounts receivable, following up on claims, resolving denials, and collecting patient balances. You’ll work closely with carriers, patients, and internal teams to ensure accurate claims and timely payment while delivering excellent customer service.

Join a collaborative revenue cycle team focused on maximizing reimbursement and resolving complex issues in a busy

Qualifications

• Requires a high school diploma or equivalent.
• Minimum 1 year in medical billing, collections, or AR.
• Familiar with CPT/ICD-10 coding and insurance reimbursement.

Responsibilities

• Monitor and follow up on outstanding insurance claims to ensure timely reimbursement.
• Investigate, resolve, and resubmit denied or underpaid claims within payer deadlines.
• Prepare and submit clean, accurate claims to third-party payers.
• Review payer contracts, EOBs, and payment activity for correct reimbursement.
• Research claim issues and prepare detailed appeals with supporting documentation.
• Collaborate with practice staff to obtain required documentation and ensure complete patient records.
• Communicate with patients regarding balances and payment plans.
• Maintain documentation of collection efforts and account activity in EMR.

Skills

Analytical skills

Organizational skills

Problem solving

Verbal communication

Written communication

Time management

Attention to detail

Education

High school diploma or equivalent

Tools

Microsoft Office

Epic EMR

Job description

Location: Fayetteville, GA
Schedule: Full-time Hourly, On-site
Compensation: Competitive rate + benefits
Perks: Join a collaborative revenue cycle team where you'll play a key role in maximizing reimbursement, resolving complex claims, and helping patients navigate their financial responsibilities.

About OrthoAtlanta

Become part of OrthoAtlanta, one of the largest independent physician-owned orthopedic and sports medicine practice in Georgia, and contribute to our mission of providing comprehensive orthopedic care. At OrthoAtlanta, you'll be an integral member of a dedicated team of healthcare professionals committed to enhancing our patients' quality of life. We offer diverse career paths for talented individuals seeking professional growth and development within a supportive and rewarding work environment where your contributions will make a meaningful impact.

Position Summary

The Collections Specialist is responsible for ensuring timely reimbursement for services rendered by managing insurance accounts receivable, following up on outstanding claims, resolving denials, and collecting patient balances. This role works closely with insurance carriers, patients, and internal teams to ensure accurate claim processing and timely payment while delivering exceptional customer service.

What You'll Do

• Monitor and follow up on outstanding insurance claims to ensure timely reimbursement.
• Investigate, resolve, and resubmit denied or underpaid claims within payer filing deadlines.
• Prepare and submit clean, accurate claims to third-party payers.
• Review payer contracts, explanation of benefits (EOBs), and payment activity to ensure proper reimbursement.
• Research claim issues and prepare detailed appeals with supporting documentation.
• Work closely with practice staff to obtain required documentation and ensure complete patient records.
• Communicate with patients regarding insurance balances, out-of-pocket expenses, and payment plan options.
• Maintain accurate documentation of collection efforts, insurance communications, and account activity within the electronic health record.
• Follow departmental policies, procedures, and best practices for account resolution and collections.

What You'll Bring

• High school diploma or equivalent required.
• Minimum of one year of medical billing, collections, or accounts receivable experience.
• Knowledge of medical billing processes, CPT and ICD-10 coding, and insurance reimbursement.
• Understanding of medical accounts receivable and collection procedures.
• Familiarity with commercial insurance plans, HMO, PPO, Managed Care, Medicare, and Medicaid.
• Proficiency with Microsoft Office applications.
• Experience with Epic EMR is preferred.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently while managing multiple priorities.
• Excellent verbal and written communication skills.
• Professional demeanor with a high level of discretion and attention to detail.

Why Join OrthoAtlanta?

At OrthoAtlanta, you'll have the opportunity to build your career with a respected healthcare organization that values teamwork, accountability, and professional growth. We offer competitive compensation, comprehensive benefits, and a collaborative environment where your work directly contributes to exceptional patient care.