What are the responsibilities and job description for the Collections Specialist position at LHH?
Collections Reimbursement Specialist
LHH Recruitment Solutions has partnered with a reputable company local to Mount Laurel, NJ We are seeking an experienced Collections Reimbursement Specialist to join a fast-paced healthcare revenue cycle team. This role is responsible for managing accounts receivable, resolving denied claims, following up on outstanding balances, and maximizing reimbursement collections. The ideal candidate will have a strong background in medical billing, collections, accounts receivable, denial management, and insurance verification.
Collections Reimbursement Specialist
Location: Mount Laurel, NJ
Schedule: Full-Time
Work Environment: Fully Onsite
Employment Type: Temporary and Temp-to-Perm Opportunities Available
Salary Range:$21.00 To $25.00 Hourly
Key Responsibilities
- Review and analyze aging accounts receivable reports to identify outstanding balances
- Follow up on unpaid claims and denied claims to maximize reimbursement opportunities
- Investigate payer denial trends and communicate findings to internal stakeholders
- Process insurance appeals and claims follow-up activities in a timely manner
- Monitor and resolve patient and insurance credit balances and refund requests
- Recommend and process account adjustments as appropriate
- Verify insurance eligibility and benefits, including Medicare, Medicaid, and commercial insurance plans
- Identify underpayments and overpayments while monitoring credit balance reports
- Negotiate payment arrangements with patients and follow up on missed payments
- Evaluate accounts for transfer to outside collection agencies when necessary
- Assist with prior authorizations and supporting documentation requests
- Maintain accurate patient demographic, insurance, and account information
- Request medical records and additional information as needed
- Process incoming and outgoing correspondence and departmental mail
- Provide exceptional customer service to patients, insurance carriers, and internal departments
- Communicate workflow, reimbursement, and collection concerns to management
- Ensure compliance with HIPAA, confidentiality, and quality standards
- Participate in team meetings and departmental initiatives
Qualifications
- Minimum of 5 years of experience in medical accounts receivable, medical billing, collections, denial management, or healthcare revenue cycle operations
- Proven experience resolving aging accounts receivable and collecting outstanding balances
- Experience with medical claims processing and insurance verification
- Strong understanding of Medicare, Medicaid, and commercial insurance plans
- Knowledge of insurance terminology, claims follow-up, and appeals processes
- Proficiency with Microsoft Office, including Word and Excel
- Strong data entry, keyboarding, and computer navigation skills
- Excellent analytical, problem-solving, and organizational abilities
- Ability to manage multiple priorities and meet deadlines in a high-volume environment
- Excellent verbal and written communication skills
- Ability to work independently while collaborating with cross-functional teams
- Bachelor's degree preferred
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance
Salary : $21 - $25