Medical Collections

We are looking for a detail-oriented Medical Collections Representative to support hospital claim denial recovery efforts for a healthcare-focused team. This Long-term Contract opportunity is based in Minneapolis, Minnesota, and will focus on resolving denied, short-paid, and unpaid claims across a wide range of payer types. The person in this role will help reduce aging inventory by investigating claim issues, applying payer and contract knowledge, and driving timely follow-up on outstanding balances.

Responsibilities:

• Pursue payment resolution for hospital accounts with denied, underpaid, or outstanding claims across multiple insurance payers.
• Review claim status and supporting documentation to identify the cause of non-payment and determine appropriate next steps.
• Conduct follow-up with payers to appeal denials, correct billing issues, and secure reimbursement on eligible accounts.
• Apply healthcare collection regulations and compliance standards when managing account activity and recovery efforts.
• Interpret payer agreements and reimbursement terms to verify expected payment amounts and identify discrepancies.
• Document account actions thoroughly in relevant systems and maintain accurate records of communication, outcomes, and follow-up plans.
• Prioritize assigned inventory effectively to address backlog volumes and meet productivity expectations.
• Collaborate with team members and internal stakeholders to escalate complex accounts and support overall denial recovery goals.
• High school diploma or equivalent.
• At least 1 year of experience in hospital collections.
• Working knowledge of denial follow-up, claims resolution, and payment recovery processes.
• Familiarity with laws, regulations, and compliance practices related to healthcare collections.
• Ability to interpret contract language, payer terms, and reimbursement structures.
• Proficiency with Microsoft Excel, Word, and Outlook.
• Strong written and verbal communication skills with the ability to manage payer interactions professionally.
• Hospital collections experience and familiarity with systems such as Invision are preferred.