Medical Collections Specialist – Denials & Reimbursements

Medbridge-Healthcare-LLC; Baltimore (MD); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Competitive pay

Stable weekday schedule

Career advancement opportunities

Collaborative team environment

Impact on revenue cycle

Job summary

Pivotal Health is seeking a detail-oriented Medical Collections Specialist to join our Glen Burnie, Maryland office. You will resolve claim denials, research account issues, and communicate with insurance carriers to ensure timely reimbursement in a fast-paced revenue cycle role.

The position requires at least 1 year of medical collections or billing experience, strong communication, and proficiency with Microsoft Office and billing systems.

Qualifications

• Minimum of 1 year of medical collections or medical billing experience.
• Understanding of medical terminology, insurance payors, and reimbursement processes.
• Experience appealing denied claims and resolving insurance discrepancies.
• 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.
• Proficiency with Microsoft Office and healthcare billing systems.
• Ability to thrive in a fast-paced healthcare environment.

Responsibilities

• 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.
• Maintain accurate account documentation and collection activity records.
• Meet productivity and quality standards while ensuring compliance with payer and regulatory requirements.

Skills

Medical billing

Insurance claims

Denials management

Communication skills

Time management

Tools

Microsoft Office

Job description

Pivotal Health is seeking a detail-oriented Medical Collections Specialist to join our Glen Burnie, Maryland office. You will resolve claim denials, research account issues, and communicate with insurance carriers to ensure timely reimbursement in a fast-paced revenue cycle role.

The position requires at least 1 year of medical collections or billing experience, strong communication, and proficiency with Microsoft Office and billing systems.