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We are looking for an experienced Medical Collections Specialist to join a growing healthcare team in Florida. This contract opportunity with long-term potential is ideal for someone who can move quickly on denied claims, navigate payer follow-up efficiently, and help improve accounts receivable performance within a radiology-focused environment. The role is fully onsite and offers the chance to contribute to a collaborative organization with opportunities for long-term growth.
Job Responsibility
Review denied or underpaid medical claims promptly and take timely action to maximize reimbursement.
Investigate accounts receivable balances by identifying billing issues, filing limits, and payer-specific denial reasons.
Submit corrected claims, supporting documentation, and formal appeals to insurance carriers as needed.
Perform consistent follow-up with insurance companies to resolve outstanding radiology and other medical claims.
Track claim activity, payment status, and collection outcomes to maintain accurate account documentation.
Work denied claims within assigned queues or buckets to reduce aging and improve cash flow.
Coordinate with internal billing and payment posting teams to address discrepancies affecting reimbursement.
Escalate complex payer issues when necessary and support process improvements related to claim recovery.
Requirements
Previous experience in medical collections, medical billing, or accounts receivable within a healthcare setting.
Strong working knowledge of medical denials, appeals, and insurance follow-up procedures.
Ability to recognize timely filing issues and act quickly to prevent lost reimbursement.
Familiarity with radiology claims is highly preferred.
Experience using Epic or similar healthcare billing and claims management systems.
Solid attention to detail with the ability to manage multiple accounts and priorities effectively.
Strong communication skills and comfort working in an onsite team environment.
Nice to have
Familiarity with radiology claims is highly preferred.