What are the responsibilities and job description for the Commercial Collections Specialist – Physician Practices & Ambulatory Surgery Cente position at MD Manage?
We are seeking an experienced and detail-oriented professional to join our team as a Full-Time On-Site Commercial Collections Specialist. This position will assist management in overseeing accounts receivable, and insurance collections for physician practices and ambulatory surgery centers (ASCs), with an exclusive focus on commercial insurance carriers and maximizing reimbursement.
The ideal candidate will possess strong knowledge of commercial payer policies, denial management, and accounts receivable follow-up within a high-volume healthcare environment.
Position Type
- Full-Time
- On-Site - Edison, NJ
- Monday – Friday
Responsibilities
- Assist in monitoring commercial collection activities for physician practices and ambulatory surgery centers.
- Review and oversee outstanding accounts receivable to ensure timely payment and resolution.
- Conduct insurance follow-up with commercial payers regarding unpaid, denied, or underpaid claims when escalated by commercial AR team.
- Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify reimbursement discrepancies and appeal opportunities.
- Investigate and resolve claim denials, payment variances, and reimbursement issues.
- Ensure billing accuracy and compliance with payer guidelines, contractual requirements, and industry regulations.
- Analyze aging reports and prioritize collection efforts to reduce outstanding receivables.
- Work closely with accounts receivable teams and management to maximize reimbursement and improve collection performance.
- Monitor payer trends and identify systemic issues impacting revenue cycle performance.
- Assist with reporting and performance metrics related to collections, denials, and accounts receivable.
Experience Requirements
- Minimum 3 years of commercial in and out of network commercial collections experience for professional practices and/or ASCs.
- Strong knowledge of:
- Commercial payer policies and reimbursement methodologies
- Insurance follow-up and accounts receivable management
- Appeals and denial management
- Contractual reimbursement analysis
- Coordination of benefits and payer responsibility determination
- High-volume medical accounts receivable
- Working knowledge of CPT, ICD-10, HCPCS, and medical billing procedures.
- Experience reviewing payer contracts and identifying underpayments is highly preferred.
- Familiarity with ASC billing and reimbursement practices is a plus.
Qualifications
- Strong communication, organizational, and problem-solving skills.
- Detail-oriented with excellent analytical abilities.
- Ability to manage multiple priorities and meet deadlines.
- Ability to work independently and collaboratively within a team environment.
- Proficiency with EMR, practice management, and billing software systems.
- Experience utilizing payer portals and electronic claim management tools.
- Advanced proficiency with Microsoft Excel and general computer applications preferred.
Pay: $20.00 - $25.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Commercial Insurance Collections: 2 years (Required)
Work Location: In person
Salary : $20 - $25