Medical Collections Consultant
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Job Description
Medical collections consultant managing accounts receivable, claims, denials, and patient payments. Remote role supporting US healthcare billing and collections.
Responsibilities:
- Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.
- Regularly check the status of submitted claims to ensure timely processing and payment.
- Resubmit claims for appeal as necessary, working to resolve issues that may delay payment.
- Prepare and send patient statements in a timely and accurate manner.
- Conduct patient collection phone calls, address outstanding balances, and negotiate payment arrangements.
- Respond to patient and payer email and phone inquiries regarding their accounts.
- Accept phone payments from patients, ensuring accurate processing and record-keeping.
- Monitor denial trends and provide timely and accurate resolutions.
- Handle complex denials and appeals.
- Utilize collection strategies to achieve optimum reimbursement on delinquent accounts.
- Follow team and/or client procedures, policies, and methodologies.
- Perform other related duties as necessary or assigned.
Requirements:
- Must have at least 1 year of experience in a BPO or Call Center environment.
- Experience with phone collections, particularly on US accounts, is desirable but not required.
- Previous experience in Medical Billing or Medical Collections is a plus but not mandatory.
- Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.
- Must possess excellent verbal and written English communication skills.
- Open to consultancy contract minimum of 6 months.
- Able to work from home with reliable internet and a backup connection.
Benefits:
- Work from home
- Company computer/equipment provided
- Fully remote work
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