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Medical Claims Eligibility Specialist - Billing & Collections

Houston, TX · On-site

$22/hr

Medical Claims Eligibility Specialist - Billing & Collections $22/Hour | Contract-to-Hire | Houston Heights (77018) | Monday-Friday, 8 AM-5 PM | 100% Onsite A growing healthcare services organization ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of ... collections experience. - Insurance Payment review experience. - Claims submission and billing ...

Advocare LLC

Medical Biller/Collections

Bergenfield, NJ · On-site

$18 - $20/hr

The Medical Biller is responsible for preparing and submitting accurate medical claims to insurance ... collections. Location In office, no remote. Requirements: * Computer knowledge a must * Billing ...

Advocare LLC

Medical Biller/Collections

Bergenfield, NJ · On-site

$18 - $20/hr

Description The Medical Biller is responsible for preparing and submitting accurate medical claims ... collections. Location In office, no remote. Requirements * Computer knowledge a must * Billing ...

Glazer Spine Center

Medical Biller

Southfield, MI · On-site

$29 - $35/hr

Small private practice Physical Therapy, Chiropractic, and PM&R clinic looking for a medical biller with experience in personal injury, worker's compensation, and litigated claims/collections. No ...

OneStopRecruiting

Medical Biller

Peoria, AZ · On-site

$26 - $28/hr

Our practice in Peoria is seeking a Medical Biller to manage billing claims, collections, and insurance follow-up. This role offers the opportunity to work across the full revenue cycle in a ...

Prestige Staffing

Medical Biller

Atlanta, GA · On-site

$20 - $26/hr

Problem-solving skills to research and resolve discrepancies, denials, appeals, collections * Knowledge of medical terminology likely to be encountered in medical claims #zr-pro #LI-AK3

TheraTree

Billings and Collections Specialist

Owensboro, KY · On-site

$15.25 - $21/hr

Collections on Accounts Receivable * Reconcile Payments General Job Duties & Responsibilities of ... All medical claims and invoices billed out. * Proofreads and submits all healthcare claims and ...

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Medical Claims Collections information

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$14

$22

$31

How much do medical claims collections jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medical claims collections in the United States is $22.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $24.52 per hour, depending on experience, location, and employer.

What is medical claims collections?

Medical claims collections is the process of recovering payments from patients or insurance companies for healthcare services provided. Collection specialists work with patients to set up payment plans, contact insurance companies to resolve claim denials, and ensure that outstanding medical bills are paid in a timely manner. Their goal is to help healthcare providers receive the revenue they are owed while maintaining positive relationships with patients and insurers.

What are the key skills and qualifications needed to thrive as a medical claims collections specialist?

To thrive as a Medical Claims Collections Specialist, you need a solid understanding of medical billing, insurance claim processes, and healthcare regulations, often supported by experience in healthcare administration or a related certification. Familiarity with medical billing software, electronic health records (EHR), and claims management systems is crucial. Strong negotiation, communication, and organizational skills help in dealing with patients, insurance companies, and resolving disputes effectively. These skills ensure timely reimbursement, minimize claim denials, and maintain positive relationships with all stakeholders in the revenue cycle.

What are the typical challenges faced by professionals in medical claims collections, and how can they be managed effectively?

Professionals in Medical Claims Collections often encounter challenges such as denied or delayed claims, navigating complex insurance policies, and communicating with patients who may be experiencing financial stress. Successfully managing these challenges requires strong attention to detail, persistence in following up on outstanding accounts, and clear, empathetic communication skills. Staying up-to-date with insurance regulations and leveraging collection management software can also help streamline the process and improve outcomes.

What is the difference between Medical Claims Collections vs Medical Billing Specialist?

AspectMedical Claims CollectionsMedical Billing Specialist
CredentialsKnowledge of insurance policies, basic coding, and collections proceduresMedical coding certifications, billing software proficiency
Work EnvironmentCollections departments, healthcare offices, hospitalsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageHealthcare providers, insurance companies, billing agenciesHospitals, clinics, private practices
Search & Comparison IntentFocus on recovering unpaid claims, collections processesFocus on submitting claims, coding, and billing processes

Medical Claims Collections primarily involves recovering unpaid insurance claims and managing collections efforts. In contrast, Medical Billing Specialists handle submitting claims, coding diagnoses and procedures, and ensuring accurate billing. While both roles work closely within healthcare revenue cycle management, Collections focuses on payment recovery, whereas Billing Specialists focus on claim submission and coding accuracy.

What does a medical claims collections specialist do?

A medical claims collections specialist is responsible for following up on unpaid or denied insurance claims to recover payments. They review claim details, communicate with insurance companies and patients, and ensure accurate and timely collection of owed funds, often using billing software and maintaining detailed records.
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Cities with the most Medical Claims Collections job openings:

What states have the most Medical Claims Collections jobs?

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Medical Claims Collections jobs near you
Infographic showing various Medical Claims Collections job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.

Medical Claims/Collections Billing Specialist

X-Ray Associates of New Mexico PC

Albuquerque, NM • On-site

Full-time

Re-posted 22 days ago

Job description

Description:

The Medical Claims Billing Specialist is responsible for reviewing, researching, and resolving healthcare insurance claims to ensure accurate and timely reimbursement. This role focuses on correcting claim issues, submitting claims to insurance carriers, and performing timely collections on outstanding accounts.


Essential Duties & Responsibilities

  • Review collection queues, Explanation of Benefits (EOBs), and correspondence for unpaid or underpaid claims.
  • Research claim issues and resolve discrepancies appropriately.
  • Interpret EOBs and insurance correspondence to determine required corrections or adjustments.
  • Research exception reports and report findings to the Revenue Cycle Manager.
  • Update patient and claim information by accessing internal and external systems.
  • Resubmit corrected claims through billing systems as needed.
  • Maintain accurate documentation, including MR notes, account status codes, and collection activity.
  • Provide account updates and collection progress reports as requested.
  • Assist patients with billing questions and payment processing.
  • Process payments accurately using Z-Pay application.
  • Assist in training staff on insurance processes and billing workflows when needed
Requirements:

Minimum Qualifications

  • High School Diploma or equivalent required.
  • Minimum of two (2) years of experience in medical accounts receivable or medical insurance claims processing.


Knowledge, Skills & Abilities

  • Strong knowledge of medical insurance billing and claims processing.
  • Proficiency with MS Windows, RIS systems, and internal billing platforms (MI system).
  • Ability to operate standard office equipment (computer, copier, fax, calculator, shredder).
  • Strong attention to detail and accuracy in data entry and claims review.
  • Ability to manage multiple tasks simultaneously and meet deadlines.
  • Professional communication skills with patients, insurance companies, and coworkers.
  • Ability to learn and adapt to multiple software systems.
  • Strong written and verbal communication skills.
  • Commitment to maintaining HIPAA compliance and protecting PHI.


Working Conditions

  • Standard office environment.
  • Frequent computer and phone use.
  • Interaction with insurance companies, patients, and internal staff throughout the day.


Physical Requirements

  • Ability to sit and work at a computer for extended periods.
  • Ability to lift up to 20 lbs (files and paper boxes).
  • Frequent use of hands for typing and data entry.