Robert Half

Compensation

Full Description

We are looking for a Medical Collections Specialist to join our team in Federal Way, Washington. In this long-term contract position, you will play a vital role in ensuring the accurate management of medical billing, collections, and insurance claims. This is a remote opportunity within the healthcare industry, offering flexibility while maintaining regular communication with clinics, payers, and patients. Responsibilities: • Investigate and resolve insurance denials by conducting thorough account reviews from the start of patient treatment. • Verify patient benefits and eligibility to ensure accurate billing and collection processes. • Manage back-end collections by coordinating with payers and filing appeals to recover owed payments. • Communicate effectively with clinics, payers, and patients to address outstanding balances and resolve discrepancies. • Perform root cause analysis to identify underlying issues in billing or claims processing. • Utilize spreadsheets and internal systems to organize and manage financial data efficiently. • Collaborate with team members to meet revenue cycle goals and optimize collection efforts. • Handle pre-authorizations and eligibility verifications for accurate claims submission. • Demonstrate technical proficiency in Microsoft Excel and other internal systems used for billing and collections. • Maintain an organized and methodical approach to all tasks, ensuring compliance with healthcare regulations.• Previous experience in medical collections, billing, or revenue cycle operations. • Strong understanding of insurance denials, appeals, and benefit verification processes. • Proficiency in Microsoft Excel and familiarity with billing and accounting software. • Excellent communication skills for interacting with clinics, payers, and patients. • Ability to perform root cause analysis and develop effective solutions to resolve claim issues. • Organizational skills and attention to detail, especially when managing financial data and spreadsheets. • Technical aptitude to navigate internal systems and tools efficiently. • Prior experience in a healthcare or related industry is preferred.