Medicare Collections Specialist

TL;DR

Medicare Collections Specialist: Managing the revenue cycle and ensuring timely collection of sales from third-party payers with an accent on Medicare, Medicaid, and private insurance claims. Focus on resolving collection issues, investigating denials, and reconciling accounts to support the company's mission of empowering individuals with disabilities.

Location: Must be based in the US (Pennsylvania)

Company

hirify.global is a global leader in assistive communication solutions, dedicated to empowering people with disabilities to express themselves and live richer lives.

What you will do

• Manage assigned accounts to ensure accurate and timely billing, collections, and payment activity.
• Verify claims, follow up on unpaid accounts, and investigate denials with insurance payers.
• Coordinate with billers and funding consultants to resolve documentation and billing issues.
• Prepare appeals and correspondence to dispute payment denials.
• Review posted payments for accuracy and investigate discrepancies or refund requests.
• Document all collection actions and communication in the system to maintain accurate records.

Requirements

• Must be based in the US with the ability to work in a remote environment.
• High School Diploma or equivalent.
• 2+ years of experience in accounting, collections, or high-volume medical billing and insurance claims processing.
• Proficiency in Microsoft Office (Word, Excel, Outlook) and internet-based research.
• Strong problem-solving, organizational, and interpersonal communication skills.
• Ability to manage confidential information and apply independent judgment.

Nice to have

• Knowledge of payment posting processes, including contractual adjustments and refunds.
• Familiarity with medical insurance claims procedures and documentation standards.

Culture & Benefits

• Collaborative work culture that values individuality and diversity.
• Opportunity to work for a mission-driven company with a direct impact on customers' lives.
• Flexible work environment supporting work-life balance.
• Commitment to equal opportunity and inclusive workplace practices.