Medical Collection Specialist
Bethesda, MD
Category: Healthcare
Reference ID: 10082396
Shortcut: http://addisongroup.gosnaphop.com/mJt2rn
Job Title: Medical Collection Specialist
Location: Bethesda, MD (Onsite)
Industry: Healthcare / Revenue Cycle Management
Pay: $23 per hour
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client
Addison Group is partnering with a growing healthcare organization seeking an experienced Medical Collection & Billing Specialist to join its Central Billing Office team. This position is ideal for someone with strong medical billing and insurance accounts receivable experience who enjoys working directly with insurance carriers to resolve claims and maximize reimbursement.
Job Description
The Medical Collection & Billing Specialist is responsible for managing insurance accounts receivable, resolving denied claims, submitting appeals, and working accounts through the full reimbursement cycle. This role works primarily with insurance companies rather than patients, making it ideal for candidates with a strong payer follow-up and medical billing background.
Key Responsibilities
- Investigate and resolve denied, underpaid, and unpaid insurance claims.
- Manage assigned accounts receivable across all aging buckets.
- Submit corrected claims and appeals to insurance carriers.
- Perform insurance follow-up to ensure timely reimbursement.
- Coordinate and submit medical records and supporting documentation for appeals.
- Review claim status and communicate with commercial and government payers regarding outstanding accounts.
- Assist with medical billing functions, including claim submission, payment posting, and account reconciliation.
- Maintain accurate documentation of all account activity and follow-up efforts.
- Prepare status updates and maintain organized records of assigned accounts.
- Collaborate with internal departments to resolve billing discrepancies and improve reimbursement outcomes.
Requirements:
- 2+ years of recent medical billing and/or accounts receivable experience required.
- Strong experience working directly with insurance companies (minimal patient interaction).
- Experience with insurance follow-up, denials, appeals, and claims resolution required.
- Knowledge of medical terminology, insurance benefits, and healthcare billing processes.
- Experience working with both commercial and government payers.
- Orthopedic or musculoskeletal billing experience is a plus but not required.
- Experience with ModMed (Modernizing Medicine) or similar practice management systems is preferred.
- Strong attention to detail, organizational skills, and ability to manage a high-volume workload.
- Excellent communication and problem-solving skills.
Additional Details
- Schedule: Monday–Friday, 8:00 AM – 4:30 PM
- Work Model: Fully onsite
- Environment: Central Billing Office
- Productivity: Manage approximately 40–50 insurance claims per day
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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