Medical Collections Specialist

Atlantic Group; New Jersey; Hybrid; USD 29,000 - 34,000; Full time

Job summary

Atlantic Group in Burlington County, NJ is hiring a Medical Collections Specialist to support medical accounts receivable, insurance collections, and reimbursement services in a healthcare environment. The role requires collaborating with patients, payers, and internal teams to maximize reimbursement while maintaining patient service standards.

The ideal candidate has 5+ years of medical collections experience, familiarity with Medicare/Medicaid, and proficiency with EMR and billing systems.

Qualifications

• Bachelor's degree preferred.
• 5+ years of experience in medical accounts receivable or related fields.
• Experience with medical claims processing, Medicare/Medicaid, and payer denials.
• Proficiency with MS Office and EMR systems.

Responsibilities

• Accounts receivable management: review aging AR and prioritize collections to improve reimbursement.
• Denials and appeals: investigate denials, submit appeals, and follow up on unpaid claims with payers.
• Insurance collections: contact carriers and patients to verify coverage and negotiate payment arrangements.
• Account resolution: process refunds, adjustments, hardship requests, and identify underpayments/overpayments.
• Patient and provider support: respond to inquiries and assist with verification and prior authorization tasks.
• Compliance and reporting: maintain HIPAA compliance and provide performance reports to leadership.

Skills

Analytical skills

Organizational skills

Customer service

Education

Bachelor's degree

Tools

Microsoft Office

Electronic medical records

Healthcare billing systems

Practice management software

Job description

Job Overview – Medical Collections Specialist

Compensation: $21 – $25/hour (Dependent on Experience)

Location: Burlington County, NJ

Schedule: Monday to Friday (Hybrid)

Atlantic Groupis hiring a Medical Collections Specialist in Burlington County, NJ for our client, supporting medical accounts receivable, insurance collections, and reimbursement services within a healthcare environment. This role partners with patients, insurance carriers, and internal teams to resolve outstanding claims, manage payer denials, and maximize reimbursement while ensuring exceptional customer service and regulatory compliance. The ideal candidate has extensive experience with medical collections and thrives in a fast-paced, high-volume environment.

Responsibilities as the Medical Collections Specialist:

• Accounts Receivable Management: Review aging accounts receivable, monitor outstanding balances, and prioritize collection activities to improve reimbursement performance.
• Denials & Appeals: Investigate insurance denials, submit appeals, follow up on unpaid claims, and resolve reimbursement issues with commercial, Medicare, and Medicaid payers.
• Insurance Collections: Contact insurance carriers and patients to verify coverage, resolve payment discrepancies, negotiate payment arrangements, and secure timely reimbursement.
• Account Resolution: Process refunds, account adjustments, financial hardship requests, and identify underpayments, overpayments, and credit balances while maintaining accurate account documentation.
• Patient & Provider Support: Respond to inquiries from patients, providers, and insurance carriers while maintaining accurate patient records and assisting with insurance verification and prior authorization activities.
• Compliance & Reporting: Maintain HIPAA compliance, monitor reimbursement trends, identify process improvement opportunities, and provide reporting and feedback to leadership on collection performance.

Qualifications for the Medical Collections Specialist:

• Education: Bachelor's degree is preferred.
• Experience: 5+ years of experience in medical accounts receivable, medical billing, insurance collections, denial management, or healthcare reimbursement is required.
• Industry Knowledge: Experience with medical claims processing, insurance verification, reimbursement procedures, Medicare, Medicaid, commercial insurance plans, and healthcare billing regulations is required.
• Technical Skills: Proficiency with Microsoft Office, electronic medical records, healthcare billing systems, and practice management software is required.
• Skills & Attributes: Strong analytical, organizational, and customer service skills with exceptional attention to detail, the ability to manage high-volume workloads, resolve complex reimbursement issues, and communicate effectively with patients, payers, and internal stakeholders.