Medical Collections Specialist jobs in United States
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CNY Family Care, LLP · 1 week ago

Medical Collections Specialist

CNY Family Care, LLP is a family care medical practice committed to excellence in providing care for the community. They are seeking a Medical Collections Specialist responsible for maximizing cash collections while maintaining a patient-first experience, managing patient accounts receivable, and ensuring compliant collection practices.

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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 billingAccounts receivable managementHIPAA compliancePayment plan managementClaim reprocessingCommunication skillsProblem-solving skills

Required

Experience in medical collections or related field
Ability to manage patient accounts receivable for self-pay balances
Knowledge of insurance underpayments and denials
Experience in setting up payment plans
Understanding of compliant and ethical collection practices
Ability to work collaboratively in a high-volume family practice
Proficiency in documenting contacts in electronic health records (EHR)
Ability to educate patients on explanation of benefits (EOBs) and benefit design
Adherence to HIPAA/HITECH privacy and security standards
Knowledge of federal and state consumer protection guidelines
Ability to maintain accurate and audit-ready account notes and documentation
Skills in confirming remittances and allocating payments correctly
Ability to identify and correct posting discrepancies

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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