Medical Collections Specialist
Private Label Staff, Mckinney, TX, United States
About the Role:
The Billing – Reimbursement Specialist is responsible for managing accounts receivable, resolving unpaid or denied claims, and ensuring timely reimbursement from insurance carriers and customers. This role works closely with internal teams and third-party partners to support accurate billing processes and maintain compliance with healthcare regulations.
Key Responsibilities:
Review aging reports and follow up on outstanding balances
Contact insurance carriers and patients/customers regarding unpaid or denied claims
Research and resolve billing discrepancies; submit corrected claims as needed
Manage insurance authorizations, including submission, tracking, and follow‑up
Verify eligibility and ensure accurate claim submission and reimbursement
Maintain accurate and timely documentation in billing systems
Reconcile data across systems prior to invoicing to ensure accuracy
Apply appropriate adjustments or write‑offs based on payer guidelines
Respond to inbound billing inquiries and provide customer support
Assist with audit requests and internal billing inquiries
Ensure compliance with HIPAA, payer guidelines, and regulatory requirements
Collaborate with internal teams to resolve account and billing issues
Required Qualifications:
1–3 years of experience in accounts receivable, medical billing, or collections
Experience in healthcare billing
Strong understanding of Medicare DME-specific guidelines and documentation requirements
Experience working with insurance portals and payer systems
Knowledge of claims lifecycle, denials management, and authorizations
Strong attention to detail and problem‑solving skills
Ability to manage multiple priorities in a fast‑paced environment
Strong customer service and communication skills
Preferred Qualifications:
Experience in Durable Medical Equipment (DME) billing
Experience with Brightree or similar billing systems
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Key Responsibilities:
Review aging reports and follow up on outstanding balances
Contact insurance carriers and patients/customers regarding unpaid or denied claims
Research and resolve billing discrepancies; submit corrected claims as needed
Manage insurance authorizations, including submission, tracking, and follow‑up
Verify eligibility and ensure accurate claim submission and reimbursement
Maintain accurate and timely documentation in billing systems
Reconcile data across systems prior to invoicing to ensure accuracy
Apply appropriate adjustments or write‑offs based on payer guidelines
Respond to inbound billing inquiries and provide customer support
Assist with audit requests and internal billing inquiries
Ensure compliance with HIPAA, payer guidelines, and regulatory requirements
Collaborate with internal teams to resolve account and billing issues
Required Qualifications:
1–3 years of experience in accounts receivable, medical billing, or collections
Experience in healthcare billing
Strong understanding of Medicare DME-specific guidelines and documentation requirements
Experience working with insurance portals and payer systems
Knowledge of claims lifecycle, denials management, and authorizations
Strong attention to detail and problem‑solving skills
Ability to manage multiple priorities in a fast‑paced environment
Strong customer service and communication skills
Preferred Qualifications:
Experience in Durable Medical Equipment (DME) billing
Experience with Brightree or similar billing systems
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