Medicare/Medicaid Billing & Collections Specialist

Med-Metrix; Reading (Berks County); On-site; USD 40,000 - 52,000; Full time

Job summary

Med-Metrix in Reading, PA is seeking a Patient Account Representative who handles collections, follow-up on accounts, and billing postings, with Medicare/Medicaid experience.

You will work with payers, review patient info, ensure accurate billing, monitor denials, and maintain HIPAA confidentiality while delivering timely, compliant results. This role requires strong Excel skills and familiarity with hospital billing workflows.

Qualifications

• High school diploma or equivalent required.
• Medical billing experience and coding knowledge preferred.
• Experience with hospital/facility billing.
• Knowledge of ICD-9/10, CPT, HCPCS; UB-04.
• Proficient in Microsoft Office Suite.

Responsibilities

• Follow-up with payers to resolve outstanding claims by phone, email, fax or websites.
• Review and update patient and financial information accurately.
• Verify payer responsibility for payment and ensure accuracy.
• Monitor billings for accuracy and fix errors.
• Identify underpayments and denial trends; initiate appeals when needed.
• Maintain PHI confidentiality and HIPAA compliance.

Skills

Interpersonal skills

Problem solving

Verbal communication

Written communication

Education

High School Diploma or equivalent

Medical Billing and Coding certification (preferred)

Tools

STAR

SMS

EAGLE

EPIC

Job description

Med-Metrix in Reading, PA is seeking a Patient Account Representative who handles collections, follow-up on accounts, and billing postings, with Medicare/Medicaid experience.

You will work with payers, review patient info, ensure accurate billing, monitor denials, and maintain HIPAA confidentiality while delivering timely, compliant results. This role requires strong Excel skills and familiarity with hospital billing workflows.