Medical Billing & Collections Specialist

Join The Patient Accounting Team!

Location : Remote (See Approved States) Shift : Day Shift Variable Hours | Full-Time 40 Hours

The Medical Billing & Collections Specialist plays a vital role in ensuring the accuracy, completeness, and timeliness of claim submissions, closely monitoring claim statuses, investigating rejections and denials, and documenting all account activities. This role requires strong critical thinking skills and an in-depth understanding of insurance eligibility, payment methodologies, and contractual adjustments based on government regulations.

Additionally, the specialist must demonstrate proficiency in billing systems to optimize efficiency, ensure compliance, and facilitate the seamless processing of claims. With a keen attention to detail and expertise in navigating complex insurance requirements, the Medical Billing & Collections Specialist supports operational excellence and contributes to the organizations financial health.

Key Responsibilities :

• Process claims to appropriate primary, secondary, and / or tertiary insurance company according to insurance guidelines.
• Perform follow-up on unpaid insurance accounts identified through aging reports.
• Process appeals when appropriate.
• Process refund requests.
• Identify trends, and carrier issues relating to billing and reimbursements, report findings to leadership.
• Maintain Privacy & Confidentiality of patient information and organizational operations.
• Responsible for learning, understanding and following payer guidelines.
• Reallocate misapplied payments and adjustments.
• Work special assignments when needed.

Basic Qualifications :

Preferred Qualifications :

This position offers full-time remote work. To be eligible, you must reside in one of the following states : Arkansas, Arizona, Colorado, Florida, Hawaii, Idaho, Illinois, Indiana, Kansas, Michigan, Missouri, Montana, Minnesota, New Mexico, North Carolina, Ohio, Oregon, South Dakota, Tennessee, Texas, Virginia, Washington, Wyoming.

Logan Health takes great pride in offering its employees a comprehensive benefits package that includes : Health, Dental, and Vision insurance, 401(k) with generous matching, employer-provided life insurance, voluntary life and disability insurance options, critical illness and voluntary accident options, employee assistance program (EAP), FSA, paid time off, holiday pay, and illness bank, employee referral program, and tuition reimbursement program.