Medical Collections Representative

Job Title: Medical Collections Representative

Reports to: Director of Revenue Cycle Management

Amera Imaging is seeking a Medical Collections Representative to support timely reimbursement across both health insurance and legal-based accounts. This role is responsible for billing and rebilling claims, proactive follow-up on unpaid or underpaid balances, denial resolution, and consistent case statusing to move accounts through to final payment. The ideal candidate is organized, persistent, detail-oriented, and communicates professionally with payors, attorneys, and internal teams while maintaining accurate documentation and compliance standards.

Key Responsibilities:

• Meets department collection and follow-up performance expectations for health insurance and legal-based accounts.
• Completes assigned work accurately and on time; escalates issues, delays, or barriers to the Supervisor to support prompt resolution.
• Performs daily billing and rebilling of claims to third-party insurance carriers.
• Submits initial, corrected, secondary, rebilled, and late charge claims daily to maintain current account status.
• Ensures all payor-specific billing requirements are met to reduce denials and delays in reimbursement.
• Performs routine and escalated follow-up on unpaid, underpaid, and zero-pay insurance claims.
• Proactively works insurance denials, including corrections, appeals, and submission of required documentation.
• Identifies and communicates trends related to denials, payment variances, billing errors, and zero payments.
• Performs case statusing with attorneys and case managers to confirm settlement progress and payment timelines.
• Follows legal-based accounts through negotiation, settlement, and final payment.
• Prioritizes assigned work queues to support timely collections, focusing on high-dollar and aged accounts.
• Documents follow-up activity and correspondence thoroughly in the billing system using appropriate activity codes.
• Works returned mail and correspondence from insurance carriers and legal offices daily.
• Communicates professionally with insurance carriers, attorneys, guarantors, and internal teams.
• Collaborate with other collectors/teammates to support department goals.
• Completes special projects and other duties as assigned by the Patient Accounts Manager or Supervisor.
• Comply with established workflows, productivity expectations, and documentation standards.
• Maintains confidentiality and adheres to HIPAA requirements.

• Follows Amera Imaging attendance standards, workplace policies, and professional conduct expectations.

• Qualifications:

• High school diploma or equivalent required; college coursework or degree preferred.

• 2 years of medical billing/collections experience preferred (insurance follow-up, denials, or payment resolution).
• Strong understanding of the claim lifecycle, EOB/ERA review, and denial resolution processes.
• Experience submitting corrected claims, appeals, and supporting documentation through payor portals and clearinghouses.
• Experience with billing and High attention to detail with strong documentation habits and ability to manage multiple work queues.
• Professional communication skills for interacting with payors, attorneys/case managers, and internal teams.
• Ability to work independently, meet deadlines, and maintain productivity expectations in a fast-paced environment.
• Commitment to confidentiality, compliance, and excellent service.
• Experience with billing and claims tools such as Waystar and EZClaim (preferred)

Physical Requirements:

• Ability to lift up to 30 pounds
• Ability to sit for 80% of the day
• Ability to stand as needed.
• Ability to focus for an extensive period on data, letter writing and other administrative duties. Requires mental acuity and the ability to interact with team members and management.

At Amera Imaging, we are committed to fostering a diverse and inclusive workplace. We are proud to be an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, or veteran status. As part of our commitment to a safe and trustworthy work environment, all offers of employment at Amera Imaging are contingent upon clearing a pre-employment drug screening and background check. We conduct these checks to ensure the safety and security of our team members and customers. By applying, you agree to undergo these screenings if selected for a position.

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