Medical Collections Specialist

As a Medical Collections Specialist, you will play a key role in supporting timely insurance reimbursement and maintaining the financial health of a patient-focused healthcare organization.
You will manage assigned payer accounts, follow up on outstanding claims, and work to resolve denials, underpayments, and unpaid balances.
Through direct communication with insurance providers, you will investigate claim issues and determine the appropriate next steps, including corrections, appeals, reconsiderations, or rebilling.
You will collaborate with billing, pharmacy, and operations teams to address reimbursement challenges and help ensure patients maintain access to essential infusion therapies.
The role requires strong attention to detail, persistence, sound judgment, and consistent ownership of collection activities.
You will work remotely in a fast-paced, metrics-driven environment, following a consistent Monday-to-Friday schedule.
This position offers the opportunity to contribute directly to efficient revenue-cycle operations while supporting continuity of patient care.

• High school diploma or GED required.

• At least 3 years of medical collections or related revenue-cycle experience.

• Previous experience communicating with insurance payers and resolving outstanding medical claims.

• Experience providing professional customer service to internal and external stakeholders.

• Basic proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint.

• Strong analytical and problem-solving abilities, with the capacity to investigate claim issues and identify effective solutions.

• Persistence and confidence when following up with insurance providers and managing outstanding balances.

• Excellent attention to detail, organizational skills, and commitment to accurate documentation.

• Strong written and verbal communication skills.

• A customer-service mindset combined with financial accountability and ownership of assigned accounts.

• Ability to prioritize competing demands, manage multiple tasks, and work effectively in a fast-paced, metrics-driven environment.

• Preferred: 5 or more years of medical collections experience.

• Preferred: Previous experience in home infusion, specialty pharmacy, or infusion therapy billing and collections.

• Preferred: Experience handling insurance denials, underpayments, appeals, and payer follow-up.

• Preferred: Familiarity with healthcare billing platforms, clearinghouses, and revenue-cycle management systems.

• Demonstrated integrity, adaptability, collaboration, and commitment to continuous improvement.