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We are looking for a detail-oriented Medical Collections Specialist to support revenue cycle efforts for a healthcare organization in Henrico, Virginia. This Long-term Contract position focuses on resolving outstanding patient and insurance balances, reviewing claim issues, and helping improve reimbursement outcomes. The ideal candidate brings hands-on experience in medical billing, denials management, appeals, and insurance follow-up, along with proficiency in eClinicalWorks.
Job Responsibility
Pursue outstanding insurance and patient accounts by conducting timely follow-up and documenting all collection activity accurately
Investigate unpaid or underpaid claims to identify billing discrepancies, denial causes, and reimbursement obstacles
Prepare and submit claim reconsiderations and appeals with supporting documentation to maximize payment recovery
Work closely with billing and internal revenue cycle teams to correct account issues and move claims toward resolution
Review insurance responses, payment postings, and account histories to determine next steps for collection efforts
Maintain accurate records in eClinicalWorks and ensure account notes reflect current status and actions taken
Communicate professionally with payers, patients, and internal stakeholders regarding balances, claim status, and account resolution
Monitor aging reports and prioritize accounts that require immediate follow-up to reduce outstanding receivables
Requirements
Experience in medical collections within a healthcare or medical office environment
Working knowledge of medical billing processes, insurance claim follow-up, and reimbursement practices
Ability to manage denied claims and prepare effective medical appeals based on payer requirements
Familiarity with medical insurance guidelines, coverage verification, and payment resolution procedures
Proficiency in using eClinicalWorks or a comparable electronic medical records and practice management system
Strong attention to detail with the ability to maintain accurate account documentation and records
Effective communication and organizational skills for handling multiple accounts and payer interactions efficiently