Medical Collections Representative

The Medical Collections Representative for a Specialist Clinic is responsible for managing outstanding patient and insurance balances related to specialty services. This role focuses on resolving unpaid or denied claims, educating patients on complex insurance benefits, and ensuring timely reimbursement while maintaining excellent patient relations in a specialty care setting. Follow up on unpaid, underpaid, and denied insurance claims for specialty procedures and services. Work with commercial insurance, Medicare, Medicaid, and specialty-specific payers. Initiate appeals for denied specialty claims and provide supporting documentation. Meet collection performance and quality metrics