Medical Collections Specialist

Job Description

Job Description

We are looking for a skilled Medical Collections Specialist to join our team on a contract basis in East Rutherford, New Jersey. In this role, you will play a crucial part in resolving insurance claim issues and ensuring proper billing processes are followed. This is a fully on-site position that requires strong attention to detail, effective communication skills, and a solid understanding of medical billing procedures.

Responsibilities :

• Analyze rejected or denied insurance claims to identify errors, omissions, or discrepancies.
• Correct claim data, coding issues, or missing patient / insurance information to facilitate resubmission.
• Resubmit corrected claims promptly through designated billing systems or insurance platforms.
• Monitor the status of submitted claims to ensure timely processing and payment resolution.
• Collaborate with insurance carriers, patients, and internal teams to address billing discrepancies and prevent recurrence.
• Maintain accurate records and documentation of claim corrections and communications.
• Utilize medical billing knowledge to handle appeals and denials effectively.
• Ensure compliance with healthcare regulations and insurance policies during claim processing.
• Provide support and insights to improve overall billing accuracy and efficiency.
• Proven experience in medical collections and billing within the healthcare industry.
• Strong knowledge of handling medical denials, appeals, and insurance claims.
• Familiarity with medical billing systems and insurance portals.
• Ability to analyze claim errors and implement corrective actions.
• Excellent communication skills to liaise with insurance companies, patients, and internal teams.
• Detail-oriented approach to managing claim documentation and follow-ups.
• Understanding of healthcare regulations and insurance policies.
• Ability to work independently and meet deadlines in a fast-paced environment.