Medical Collections Specialist jobs in United States
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CNY Family Care, LLP · 2 weeks ago

Medical Collections Specialist

CNY Family Care, LLP is a family care medical practice committed to providing excellent care for the community. They are seeking a Medical Collections Specialist responsible for maximizing cash collections while maintaining a patient-first experience, managing patient A/R for self-pay balances, and resolving insurance underpayments and denials.

Clinical TrialsHealth CareHospital

Responsibilities

Proactively work aging reports for self-pay and residual balances
Conduct outbound outreach to arrange payment, clarify statements, and resolve disputes—document all contacts in the EHR
Establish and monitor patient payment plans
Offer and document financial hardship workflows per practice policy, ensuring consistent application
Investigate balances stemming from denials, coordination of benefits, deductible/coinsurance issues, and secondary payer lags
Initiate basic claim reprocessing requests and benefit verifications in coordination with billers
Educate patients on EOBs, benefit design, and pricing transparency resources; route complex payer issues to billing specialists
Adhere to HIPAA/HITECH privacy and security standards in all communications
Follow all applicable federal and state consumer protection guidelines and internal policies
Support the No Surprises Act good-faith estimate processes and patient-friendly billing standards where applicable
Maintain accurate, audit-ready account notes and documentation
Confirm remittances, allocate payments correctly, and reconcile unapplied funds impacting patient balances
Identify and correct posting discrepancies that cause erroneous patient responsibility

Qualification

Medical billing terminologyEHR usageExcel proficiencyCPT/HCPCS/ICD knowledgeReporting tools usageCommunication skills

Required

High school diploma or general education degree (GED); or equivalent combination of education and experience
Minimum of one year's experience in medical collections specialist role
Working knowledge of medical billing terminology, EOB's, CPT/HCPCS/ICD basics, deductibles/co-insurance and common denial reasons
Strong communication skills
Ability to use EHR
Proficient use of Microsoft office, especially Excel
Use of reporting tools

Preferred

Associate's or Bachelor's in Business/Healthcare Administration
Medent preferred

Benefits

Generous paid time-off that increases with years of service
8 paid holidays per year
Closed on major holidays
Annual performance review, performance-based merit increase
Health, dental and vision benefits available with coverage effective the first of the month following date of hire
Full complement of voluntary benefits
$1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan
Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan
Waiver program for health benefits ($3,000 annually)
401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution
Free onsite parking
Free lunch daily

Company

CNY Family Care, LLP

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We are a Family Oriented Medical practice with Physicians, Physician Assistants, Nurse Practitioners and Diabetic Educators.

Funding

Current Stage
Growth Stage
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