Medical Collections Specialist (In Person Position)

Description

🏥 Medical Collections Specialist (In Person Position)

📍 Glen Burnie, MD

🕒 Full Time | Monday through Friday | 8:00 AM to 4:30 PM in office

🏢 Pivotal Health

Pivotal Health is seeking a motivated and detail oriented Medical Collections Specialist to join our growing healthcare team in Glen Burnie, Maryland. This role is ideal for someone who enjoys problem solving, working with insurance carriers, and helping drive the success of the revenue cycle process in a fast paced healthcare environment.

As a Medical Collections Specialist, you will play a key role in resolving claim denials, researching account issues, communicating with insurance carriers, and ensuring claims are processed accurately and efficiently.

What You Will Do:

⭐ Monitor and follow up on outstanding insurance claims

⭐ Research and resolve claim denials and rejections

⭐ Submit appeals electronically and through paper submissions

⭐ Communicate directly with insurance companies to resolve billing issues and secure reimbursement

⭐ Respond to patient and insurance billing inquiries professionally and efficiently

⭐ Identify reimbursement trends and carrier issues and report findings to leadership

⭐ Work closely with providers to clarify incomplete or missing claim information

⭐ Utilize billing systems effectively to maximize workflow and claim processing efficiency

What We Are Looking For:

✔ Minimum of 1 year of medical collections or medical billing experience

✔ Understanding of medical terminology and insurance payors

✔ Strong critical thinking and problem solving skills

✔ Excellent written and verbal communication skills

✔ Strong organizational and time management abilities

✔ Ability to work independently with minimal supervision

✔ Team player with a positive and professional attitude

✔ Ability to thrive in a fast paced healthcare environment

Why Pivotal Health?

✨ Competitive pay based on experience

✨ Stable Monday through Friday schedule

✨ Growing healthcare organization with career advancement opportunities

✨ Collaborative and supportive team environment

✨ Opportunity to make a direct impact on revenue cycle operations

✨ Full time opportunity with long term growth potential

If you are ready to bring your medical collections experience to a company that values teamwork, accountability, and growth, we encourage you to apply today.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The employee is regularly required to stand, walk, and sit, talk, and hear. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus.
• The employee is required to use his/her hands to operate office equipment.
• The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

In the performance of this job, the employee may be exposed to chemical vapors such as acetone, ether, or glutaraldehyde. There may also be incidental skin contact with these substances. Personal protective (PPI) equipment such as gloves and eye protection must be used as appropriate to the task being performed.

OSHA Classification System for Evaluation Potential Exposure to Blood Borne Pathogens

This position will involve NO exposure to blood, body fluids, or infectious materials.

STATEMENT OF POLICY

MedBridge is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

 AFFIRMATIVE ACTION PLAN (AAP)

The affirmative Action Plans for Minorities and Women, Individuals with Disabilities and Protected Veterans are available for inspection, by appointment, with Human Resources during regular business hours upon request.

 REASONABLE ACCOMMODATION

If you are an individual with a disability who may require an accommodation may contact Chad Henderson or at email address mhenderson@medbridgegroup.com, or dial TTY: 711 (Relay).

 EMPLOYMENT ELIGIBILITY

This employer participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER: MedBridge Healthcare LLC, and its subsidiaries, are dedicated to providing equal opportunities to all individuals regardless of race, color, religion, ethnic or national origin, gender, age, disability, sexual orientation, gender identity, gender expression, veteran's status, or any other factor that is a prohibited consideration under applicable law.

Requirements

✔ Minimum of 1 year of medical collections or medical billing experience

✔ Understanding of medical terminology and insurance payors

✔ Strong critical thinking and problem solving skills

✔ Excellent written and verbal communication skills

✔ Strong organizational and time management abilities

✔ Ability to work independently with minimal supervision

✔ Team player with a positive and professional attitude

✔ Ability to thrive in a fast paced healthcare environment