Medical Collections Specialist

Converge Medical Technology, LLCAustin, TX, US

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Job Description

Exciting Medical Collections Specialist Opportunity! Be the financial backbone of helping ensure veterans and injured workers receive timely access to life-changing treatment by managing the claims and collections process with accuracy, persistence, and purpose.

At Converge Medical Technology, we provide game-changing technology with empowering personalized patient services as part of our in-home, multidisciplinary programs for chronic low back and neck pain. Our passion is to change people's lives. The genuine care and healing of our patients is our highest mission, and our goal is to help them get back to doing the things they love.

Our Medical Collections Specialists are essential to Converge's mission by ensuring accurate and timely reimbursement that keeps patient care moving forward. Through proactive claims follow-up, appeals, and cross-team collaboration, your work helps remove financial barriers so veterans and injured workers can access the care they need without delay. Every claim you resolve supports a patient's journey toward recovery.

Details :

Location : Hybrid in Austin, TX
Pay Range : $22-$26 per hour

Key Responsibilities :

Billing & Collections : Follow established billing and collection protocols for accurate reimbursements. Review and manage accounts to ensure timely and accurate reimbursement. Apply CPT, ICD-10, and HCPC coding knowledge effectively. Identify and resolve payor issues impacting payment delays.

Claims & Appeals : Ensure accurate and timely submission of all claims. Appeal denied claims and manage both front-end authorizations and back-end denials. Utilize insurance carrier websites and Salesforce for efficient follow-up. Ensure compliance with HIPAA, confidentiality, and privacy regulations. Conduct research using available resources to complete referral submissions and updates.

Communication & Collaboration : Initiate outbound calls to insurance companies for claims resolution. Manage high-volume inbound and outbound calls, acting as a liaison between insurance companies and sales representatives. Collaborate with internal teams to streamline referral management and prior authorizations. Maintain thorough documentation of all communications and actions taken.

Perform other duties as assigned.

Qualifications :

High School diploma or equivalent required and 1-5 years of healthcare billing and collections / financial experience preferred.

Working knowledge of HCPCS, CPT, ICD-10 coding.

Experience collecting payments from insurance companies.

Why choose Converge Medical Technology? Our mission is Fun, Family, and Freedom. We encourage our team members to have fun at work, prioritize their family and work / life balance, and have the freedom to improve how we do things. We offer medical, dental, and vision insurance, short- & long-term disability, FSA / HSA options, 401k with matching, and so many more. Come and join a company that values its team as much as its growth!

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Collection Specialist • Austin, TX, US