robert halfFort Lauderdale, FL
Medical Collections Rep
Medical Collections Rep
Medical Collections Rep
robert halfFort Lauderdale, FL
2 days ago
Bill and Account CollectorsMedical Records SpecialistsHealth Information Technologists and Medical Registrars
Collection AgenciesGeneral Medical and Surgical HospitalsAll Other Miscellaneous Ambulatory Health Care Services
Apply for this role (opens in a new tab)Overview:
In this role, you will support hospital claim denial recovery as part of a healthcare-focused team. You focus on resolving denied, underpaid, and unpaid claims across a diverse range of payers to reduce aging inventory. You will investigate claim issues, apply payer knowledge, and drive timely follow-up on balances. This long-term contract in Minneapolis offers the opportunity to improve reimbursement outcomes and collaborate with cross-functional colleagues to meet denial recovery goals.
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 cause of non-payment and determine 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 in account management and recovery
- Interpret payer agreements and reimbursement terms to verify expected payment amounts and identify discrepancies
- Document account actions in relevant systems and maintain accurate records of communication, outcomes, and follow-up plans
- Prioritize assigned inventory to address backlog and meet productivity expectations
- Collaborate with team members and internal stakeholders to escalate complex accounts and support denial recovery goals
Key requirements:
- Experience in medical collections or denial management
- Ability to review and interpret claim documentation and payer denial reasons
- Experience with follow-up and payer communications for denials and underpayments
- Understanding of healthcare collection regulations and compliance standards
- Ability to document actions and maintain records in systems
- Strong organizational skills and backlog management
- Collaboration with team members and stakeholdersdetail-orientedteam collaborationeffective communicatorproductive prioritizationproblem-solvingadaptability
Also on the board Same function, level within a rung
Level
Senior
Location
Fort Lauderdale, FL
Occupation
Bill and Account Collectors
Industry
Collection Agencies
Posted
2 days ago