Medical Collections Specialist

Company: Progressive Spine and Orthopaedics LLC
Location: Englewood
Posted on: April 1, 2025

Job Description:

Job Title: Medical Collection Specialist
Location: Englewood, NJ
Schedule: Full-Time (Monday - Friday, 8am - 5pm)

Are you ready for a rewarding career where your expertise in medical collections directly drives the success of a thriving organization? If you have experience managing out-of-network major medical collections and are eager to make an impact in a fast-paced, collaborative environment, we want you to join our team!

Since our founding in 2011, we've been on a rapid growth trajectory, and we're excited to continue expanding. As part of our team, you will be a key player in ensuring the financial success of our organization, helping us deliver exceptional care to our patients across New Jersey. Your role as a Medical Collection Specialist will be central to ensuring timely and accurate reimbursements while resolving complex claims with precision.

What You'll Do:

In this highly rewarding role, you'll be responsible for managing the entire collections process for out-of-network major medical claims. You'll work closely with insurance companies, patients, and internal teams to ensure timely resolution of outstanding balances, ensuring smooth financial operations. Your expertise will allow you to handle complex billing and insurance cases with ease, leveraging your negotiation skills to secure favorable outcomes for both the organization and the patients.

In this fast-paced, dynamic environment, you'll need to stay organized, prioritize effectively, and be proactive in resolving billing issues. You'll also contribute to streamlining our collections processes, identifying areas for improvement to help us achieve even greater efficiency. Every day offers new challenges, opportunities for growth, and the satisfaction of making a real impact.

Key Responsibilities:

Lead the collections process for out-of-network major medical claims, working collaboratively with insurance companies and patients to resolve outstanding balances.

Follow up on unpaid claims, investigate denials, and file appeals when necessary to ensure the proper handling of out-of-network procedures.

Negotiate payment arrangements and settlements with patients and third-party payers while ensuring compliance with all regulations and company policies.

Review and analyze patient accounts to identify discrepancies, implement corrective actions, and optimize out-of-network billing processes.

Maintain accurate and up-to-date records of all collection activities and communications to ensure smooth operations.

Why You Should Apply:

Rapid Growth & Opportunity: Be part of an organization that is expanding quickly, creating new opportunities for professional development and advancement.

Collaborative & Supportive Environment: Join a team that values inclusivity, teamwork, and innovation. We are dedicated to creating an environment where every employee feels valued and empowered.

Competitive Compensation: Enjoy a competitive salary and benefits package, with health, dental, vision, and PTO to keep you healthy and happy.

Impactful Work: In this essential role, you'll directly contribute to the financial health of the organization while ensuring that patients receive the best care possible.

Are you a motivated Medical Collection Specialist with a passion for out-of-network medical collections? If you're ready to take your career to the next level with a company that values your skills and contributions, we want to hear from you!

Apply now and become an integral part of our dynamic team as we continue to grow and succeed together!



PIbfe183a7f632-37248-37241928

Keywords: Progressive Spine and Orthopaedics LLC, Tenafly , Medical Collections Specialist, Accounting, Auditing , Englewood, New Jersey