Medical Collections Specialist

Medical Collections Specialist

Praesum Healthcare provides administrative services for healthcare providers across the Northeast, mid‑Atlantic, and Southeast regions. The Medical Collections Specialist is responsible for performing payment follow‑up and collection activities on patient accounts, calling patients directly to collect on medical bills, and maintaining accurate, timely data.

• Aggressively seek final resolution on all denied medical claims.
• Provide ongoing appropriate collection activity on appeals until the payer has responded.
• Review contracts and identify billing or coding issues; request re‑bills, secondary billing, or corrected bills as needed.
• Resolve any incoming phone inquiries from insurance providers requesting medical records and/or letters of medical necessity.
• Research, compile, and respond to documentation requests from insurance carriers in a timely basis.
• Contact insurance carriers to collect on zero paid account balances.
• Document all activities, contacts, and communications with insurance companies in the system.
• Review EOBs and identify payer‑specific billing requirements.

• High School Diploma or GED equivalent.
• AA Degree or vocational training preferred in a related field.
• Minimum 2‑3 years of experience in a medical collection role, communicating with both patients and insurance companies.
• Computer literacy with proficiency in Microsoft Office applications.
• 1‑2 years of customer service experience.
• Analytical skills.
• Knowledge of medical terminology and medical coding.

Full‑time:
Monday – Friday, 8:00AM – 4:30PM.

Hourly rate competitive with experience. Full‑time employees may be eligible for the following benefits:

• Medical, Dental, Vision, and STD insurance options.
• Medical FSA and Dependent Care Account.
• 401(k) with company match up to 5%.
• Accrued Paid Time Off (PTO).
• Education reimbursement.
• Career advancement opportunities.