Remote Medical Collections Specialist

Job Summary

To support quality healthcare delivery, the full-time Remote Medical Collections Specialist will process, review, and verify reimbursement claims while collaborating with internal teams to ensure compliance and timely resolution of account discrepancies.

Key responsibilities

• Processes and verifies reimbursement claims for accuracy and compliance with payer guidelines
• Reviews and resolves claim discrepancies, identifying incorrect payments and taking appropriate actions
• Monitors outstanding claims and collaborates with revenue cycle teams to investigate denials and appeal decisions

Required qualifications

• H.S. Diploma or GED required
• Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred
• 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required
• Familiarity with payer reimbursement policies and healthcare revenue cycle operations preferred