Medical Billing & Collections Specialist
Logan HealthAbout the role
Our Mission: Quality, compassionate care for all.
Our Vision: Reimagine health care through connection, service and innovation.
Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence.
Join the Patient Accounting Team!
Location: Remote (See Approved States)
Shift: Day Shift – 8 Hours | Full-Time – 40 Hours
The Medical Billing & Collections Specialist plays a vital role in ensuring the accuracy, completeness, and timeliness of claim submissions, closely monitoring claim statuses, investigating rejections and denials, and documenting all account activities. This role requires strong critical thinking skills and an in-depth understanding of insurance eligibility, payment methodologies, and contractual adjustments based on government regulations.
Additionally, the specialist must demonstrate proficiency in billing systems to optimize efficiency, ensure compliance, and facilitate the seamless processing of claims. With a keen attention to detail and expertise in navigating complex insurance requirements, the Medical Billing & Collections Specialist supports operational excellence and contributes to the organization’s financial health.
Key Responsibilities:
Process claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines.
Perform follow-up on unpaid insurance accounts identified through aging reports.
Process appeals when appropriate.
Process refund requests.
Identify trends, and carrier issues relating to billing and reimbursements, report findings to leadership.
Maintain Privacy & Confidentiality of patient information and organizational operations.
Responsible for learning, understanding and following payer guidelines.
Reallocate misapplied payments and adjustments.
Work special assignments when needed.
Basic Qualifications:
1+ year(s) of experience in a business, medical, or clinical environment.
Proficiency in Electronic Medical Record (EMR) billing systems.
Strong knowledge of medical terminology and health insurance guidelines.
Fluent in English, both spoken and written.
Preferred Qualifications:
2+ years of experience in a business, medical, or clinical environment.
Experience with specific EMR systems, including Meditech and Cerner.
Proficiency in Microsoft Office Suite, particularly intermediate skills in Excel (e.g., data entry, formulas, basic functions).
Ability to work effectively in a fast-paced, dynamic environment with strong time management and organizational skills.
Demonstrated ability to prioritize tasks and complete work with minimal supervision.
Proven ability to build and maintain professional relationships.
Consistent and reliable attendance as scheduled by leadership.
This position offers full-time remote work.
To be eligible, you must reside in one of the following states:
Arkansas
Arizona
Colorado
Florida
Hawaii
Idaho
Illinois
Indiana
Kansas
Michigan
Missouri
Montana
Minnesota
North Carolina
Ohio
Oregon
Tennessee
Texas
Virginia
Washington
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Qualifications:
Minimum of one (1) year experience in a hospital or medical office setting preferred.
Proficient with basic accounting and ten-key by touch preferred. Prior experience with business mathematical tasks and correspondence preferred.
Excellent interpersonal and customer service skills with the ability to manage sensitive an
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