Medical Collections Specialist

We are looking for a Medical Collections Specialist to support revenue cycle activities for a healthcare organization in Baltimore, Maryland. This is a Contract position focused on resolving outstanding medical balances, navigating payer-specific issues, and maintaining accurate account documentation across billing and medical records platforms. The ideal candidate brings strong analytical ability, sound billing knowledge, and a detail-oriented approach to working with patients, payers, and internal teams.

Responsibilities:

• Investigate aged accounts and take appropriate follow-up actions to secure payment from commercial insurers, government programs, workers’ compensation carriers, and other payer sources.
• Review billing records, claim history, remittance details, and supporting documentation to identify the cause of unpaid or underpaid balances.
• Prepare and submit claim corrections, reconsiderations, and formal appeals to address denials, payment variances, and unresolved reimbursement issues.
• Maintain accurate updates in multiple billing and medical record systems to reflect collection activity, account status, and next steps.
• Communicate with insurance representatives, patients, and internal departments to gather information, clarify discrepancies, and move accounts toward resolution.
• Analyze account data and payment trends to prioritize collection efforts and escalate complex cases when additional review is needed.
• Apply knowledge of medical billing, coding, and payer guidelines to support compliant and efficient account resolution.
• Track follow-up activity in Excel and other reporting tools to monitor progress, aging categories, and recovery outcomes.
• Experience in medical collections within a healthcare, hospital, or related clinical billing environment.
• Working knowledge of medical billing processes, insurance reimbursement, and account follow-up practices.
• Ability to manage denials, appeals, and unpaid claims across a range of payer types, including workers’ compensation.
• Proficiency with Microsoft Excel and comfort navigating multiple billing or electronic medical records systems.
• Strong communication skills with the ability to interact effectively with payers, patients, and cross-functional teams.
• Solid numerical and analytical skills with close attention to detail in account review and reconciliation.
• Familiarity with medical coding concepts and documentation requirements related to claim resolution.
• Dependable work ethic and a positive, detail-oriented attitude in a deadline-driven setting.