Medical Collections Specialist

Position Summary / Scope of Responsibility:

MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.

MedVanta has an employee centered culture that supports and promotes diversity and inclusion. Our encouraging and empowering management style makes MedVanta a great place to further grow your knowledge while building a team driven path to success.

We are seeking a highly experienced Medical Collections Specialist to join our Revenue Cycle team. This is a critical role that requires expertise in managing delinquent patient accounts, preparing collection reports, and coordinating with both internal teams and external collection agencies. The ideal candidate will have a strong background in medical collections, exceptional attention to detail, and the ability to work independently with minimal supervision.

Primary Responsibilities:

The incumbent may be asked to perform job-related tasks other than those specifically stated in this description. The duties and responsibilities of the position are to be carried out in a manner that is consistent with the Mission, Core Values and Operating Principles of MedVanta.

• Monitor and manage aging buckets (31, 61, 91, and 121+ days past due).
• Place outbound calls to patients regarding past-due balances.
• Review patient accounts, insurance payments, and explanations of benefits (EOBs) to validate balances.
• Educate patients on outstanding balances, payment plans, and financial assistance options.
• Document all patient communications and account actions in the EHR system.
• Generate and maintain reports to track outreach progress and resolution status.
• Escalate unresolved or complex accounts for further review as needed.
• Collaborate with internal departments to resolve discrepancies.
• Maintain HIPAA compliance and patient confidentiality.
• Perform other duties as assigned.

Required Education and Experience:

• High School Diploma.
• 2+ years of related experience, with experience in an orthopaedic setting preferred.
• Proficiency with Microsoft Office suite of products as well as electronic billing systems.
• Extensive knowledge of insurance, benefits, medical terminology, and medical billing.
• Accounting background or equivalent knowledge to perform balance audits and adjustments.
• Experience working with billing and accounts receivable or both commercial and non-commercial payors.

Competencies and Required Skills

Required:

• 2+ years of experience in medical collections or revenue cycle roles.

• Strong interpersonal skills - ability to develop relationships and collaborate and influence in a centralized organization. 

• Strong understanding of billing, account reconciliation, and insurance processes.

• Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.

• Ability to read, analyze, and interpret EOBs and claims data.

• Strong research and analytical skills to resolve complex account issues.

• Proficiency in Microsoft Excel (filtering, formatting, data prep).

• Strong interpersonal, oral, and written communication skills with excellent self-discipline and patience.
• Exudes professionalism in presentation.

• Excellent attention to detail and time management.

• Ability to work independently and meet established deadlines.

• Must be able to read, write, speak, understand, and communicate in the English language.

Preferred:

• Experience with Modernizing Medicine (ModMed) or other EHR systems.

• Knowledge of HIPAA regulations and patient confidentiality standards.

Physical Demands:

• Must be able to sit for long periods of time and lift up to 25 pounds
• Must be able to use appropriate body mechanics techniques when performing front desk duties.
• Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.
• Adequate hearing to perform duties in person and over telephone.
• Must be able to communicate clearly to patients in person and over the telephone.
• Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.