Medical Collections Specialist

Embark on a rewarding career path where your skills in medical coding, billing software navigation, and claims management will be valued. We’re committed to fostering growth through ongoing training opportunities that enhance your expertise in healthcare claims management. Join us today to make a difference in the financial health of our organization while supporting patient care excellence!

THIS ROLE WILL BE LOCATED IN OUR FAMILY MEDICINE CLINIC IN ST. CLOUD MN.

Overview

The Medical Collections Specialist supports revenue cycle operations of a family medicine clinic by ensuring accurate insurance verification, resolution on patient accounts and back up for the business office. Your proactive approach and attention to detail will help improve cash flow and patient satisfaction, making a meaningful impact on our organization’s financial health. This role is responsible for managing patient balances, processing payments, and correcting registration errors while maintaining compliance with healthcare regulations and organizational policies.

Responsibilities

• Verifying patient insurance eligibility and coordination of benefits (COB) regularly and updating the account as needed to ensure accurate billing.
• Responds to patient inquiries that pertain to billing, claims and account balances promptly and professionally.
• Educate patients about insurance coverage, claims processing and payment obligations.
• Making and receiving calls to patients regarding their account while working towards a common resolution.
• Creating payment plans according to the patient's financial status while maintaining a record or payment plans and contacting patients for missed or failed payments.
• Accurately post and reconcile patient payment via check, cash, and credit card.
• Actively monitor clinic's patient aging analysis, with proactively contacting patient to collect past due balances and assigning uncollectible accounts to proper collection agency according to clinic collections policy.
• Process and review return patient statements, including reaching out and updating patient address.
• Assisting billing staff with insurance aging to identify and follow up on unpaid claims to ensure unpaid claims or issues are addressed.
• Adheres to all company policies, including all HIPAA and Code of Conduct and Compliance measures.
• Other duties as assigned by Revenue Cycle Coordinator or Clinic Administrator.

Job Requirements

• High school diploma, GED, or equivalent
• Associate's degree in Health Information Technology, Health Administrative Specialist, or similar degree OR 5 years of experience
• Proven experience in medical collections or medical billing with a strong understanding of healthcare claims management
• experience with EPIC is highly desirable
• Knowledge of health insurance processes and medical records management to support accurate claim resolution
• Excellent communication skills with a focus on customer service and problem-solving abilities
• Ability to work independently while managing multiple accounts efficiently in a fast-paced environment
• Certification of medical billing or related field: Certified Professional Biller (CPB), Registered Health Information Technician (RHIT) or Registered Health Administrator (RHIA) preferred
• Prior experience in a healthcare setting or medical office environment is preferred

Work environment

• medical clinic office setting

Pay: $20.00 - $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

People with a criminal record are encouraged to apply

Application Question(s):

• Are you comfortable discussing payment arrangements with patients?

Experience:

• Medical billing: 1 year (Required)

Work Location: In person

Salary : $20 - $22