Medical Claims Collections & Appeals Specialist

Gosnaphop; Bethesda (MD); On-site; USD 28,000 - 36,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401k plan

Job summary

Addison Group in Bethesda is seeking a Medical Collection & Billing Specialist to join its Central Billing Office onsite. You will manage insurance accounts receivable, resolve denied claims, and submit appeals to maximize reimbursement.

This role focuses on payer follow-up with commercial and government payers, not patient interaction, and requires 2+ years of medical billing experience and proficiency with ModMed or similar PMS.

Qualifications

• 2+ years of recent medical billing and/or accounts receivable experience required.
• Strong experience working directly with insurance companies (minimal patient interaction).
• Experience with insurance follow-up, denials, appeals, and claims resolution required.
• Knowledge of medical terminology, insurance benefits, and healthcare billing processes.
• Experience with both commercial and government payers.
• Orthopedic or musculoskeletal billing experience is a plus but not required.
• Experience with ModMed (Modernizing Medicine) or similar practice management systems is preferred.
• Strong attention to detail, organizational skills, and ability to manage a high-volume workload.
• Excellent communication and problem-solving skills.

Responsibilities

• Investigate and resolve denied, underpaid, and unpaid insurance claims.
• Manage assigned accounts receivable across all aging buckets.
• Submit corrected claims and appeals to insurance carriers.
• Perform insurance follow-up to ensure timely reimbursement.
• Coordinate and submit medical records and supporting documentation for appeals.
• Review claim status and communicate with commercial and government payers regarding outstanding accounts.
• Assist with medical billing functions, including claim submission, payment posting, and account reconciliation.
• Maintain accurate documentation of all account activity and follow-up efforts.
• Prepare status updates and maintain organized records of assigned accounts.
• Collaborate with internal departments to resolve billing discrepancies and improve reimbursement outcomes.

Skills

Medical billing

Accounts receivable

Insurance follow-up

Denials & appeals

Payer communication

Tools

ModMed

Job description

Addison Group in Bethesda is seeking a Medical Collection & Billing Specialist to join its Central Billing Office onsite. You will manage insurance accounts receivable, resolve denied claims, and submit appeals to maximize reimbursement.

This role focuses on payer follow-up with commercial and government payers, not patient interaction, and requires 2+ years of medical billing experience and proficiency with ModMed or similar PMS.