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Medical Claims Collections Jobs (NOW HIRING)

Guardian Pharmacy, LLC

Collections Specialist

Knoxville, TN · On-site

$17.75 - $23.75/hr

... claims, collections, and accounts payable processes as assigned. Attributes Required: • Work ... Medical, Dental and Vision * Health Savings Accounts and Flexible Spending Accounts * Company-paid ...

UHS

PATIENT ACCOUNTS SPECIALIST-COLLECTIONS

Las Vegas, NV · On-site

$17 - $21.50/hr

High School or equivalent. Billing/Collections coding education a plus. Requirements ... Reimbursement and medical claims experience. * Understanding of Explanation of Benefits (EOB)

UHS

PATIENT ACCOUNTS SPECIALIST-COLLECTIONS

Las Vegas, NV · On-site

$17 - $21.50/hr

High School or equivalent. Billing/Collections coding education a plus. Requirements ... Reimbursement and medical claims experience. * Understanding of Explanation of Benefits (EOB)

Recovery Specialist

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Recovery Specialist / Medical Collections Specialist

Selden, NY · On-site

$25 - $40/hr

... underpaid claims • Research denied claims and prepare formal appeals with supporting ... medical collections or medical billing experience required • Experience handling insurance ...

MCC Medical Claims Consultants, LLC

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Medical Billing Senior Manager

Miami, FL · On-site

$28 - $34/hr

... party medical billing collections. This position processes and collects primary care and ... With a 90% first-pass resolution rate and claims submitted within 40 hours, we deliver measurable ...

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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 Jun 14, 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 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 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, and why are they important?

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.
More about Medical Claims Collections jobs
What cities are hiring for Medical Claims Collections jobs? Cities with the most Medical Claims Collections job openings:
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Medical Claims Collections jobs near you
Infographic showing various Medical Claims Collections job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 16% Full Time, 82% Part Time, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.

Personal Injury Billing and Collections Representative

Progressive Spine and Orthopaedics LLC

Clifton, NJ • On-site

$18.75 - $25.75/hr

Full-time

Posted 12 days ago

Job description

Job Title:
 Personal Injury Billing & Collections Representative

Personal Injury Experience Required — Liens, Settlements, and Attorney

COMPANY: Progressive Billing

PAY RANGE: OPM Pay Grade 7 (Hourly)

FLSA Status: Non-Exempt

Preferred Specialties:
  • Personal Injury
  • Orthopedic
  • Neuro Spine
  • Pain Management
  • Chiropractic
  • Podiatry
    • Position Summary:
  • Manage the full lifecycle of billing, collections, lien followup, and settlement recovery for personal injury medical claims.
  • Ensure accurate account documentation, timely attorney communication, and proper handling of liens and Letters of Protection.
  • Track cases from initial treatment through settlement or final resolution.
  • Work closely with attorneys, insurance adjusters, patients, providers, and internal billing teams.
  • Support recovery of outstanding balances related to motor vehicle accidents, thirdparty liability claims, and injuryrelated medical treatment.
    • Key Responsibilities:
  • Personal Injury Billing & Collections
  • Monitor and follow up on outstanding personal injury accounts, liens, and settlementrelated balances.
  • Communicate with attorneys, law firms, insurance adjusters, providers, and patients regarding case status and payment updates.
  • Track personal injury claims from date of service through settlement or account closure.
  • Ensure accurate billing for injuryrelated services, including orthopedic, neuro spine, pain management, chiropractic, podiatry, and surgical services.
  • Submit itemized bills, medical records, narratives, and supporting documentation to attorneys and insurance carriers as needed.
  • Review and update account notes with attorney communication, settlement status, payment promises, and case developments.
    • Attorney & Lien Follow-Up:
  • Maintain consistent communication with attorney offices regarding open cases, lien status, settlement timelines, and payment updates.
  • Obtain and verify Letters of Protection, attorney representation letters, lien agreements, and settlement documentation.
  • Follow up on settled cases to secure timely payment of outstanding medical balances.
  • Review attorney reduction requests and escalate as appropriate.
  • Negotiate lien reductions when approved by management and in accordance with company policy.
  • Escalate delayed, disputed, or highvalue accounts to management for review.
    • Dispute Resolution & Negotiation:
  • Investigate unpaid, underpaid, or disputed personal injury balances.
  • Review attorney disputes and provide supporting documentation to justify billed charges.
  • Negotiate reimbursement with attorneys, thirdparty liability carriers, and other responsible parties.
  • Identify issues affecting payment, including missing documentation, disputed treatment, case dismissal, policy limits, or settlement delays.
  • Work with billing, coding, authorization, and clinical teams to resolve account discrepancies.
    • Patient Communication:
  • Communicate professionally with patients regarding personal injury balances, attorney information, lien status, and billing questions.
  • Explain patient responsibility when applicable.
  • Assist patients with providing attorney contact information, claim details, and required case documentation.
  • Maintain professionalism and confidentiality when discussing sensitive legal and medical matters.
    • Documentation & Reporting:
  • Maintain accurate records of all collection activity, attorney communication, settlement updates, lien negotiations, and payment activity.
  • Generate reports on outstanding personal injury accounts, settled cases pending payment, lien reductions, and collection trends.
  • Track highdollar injury cases and provide regular updates to management.
  • Ensure documentation complies with HIPAA, company policies, and applicable billing guidelines.
    • Payment Posting & Reconciliation:
  • Review received payments and reconcile them against outstanding personal injury balances.
  • Identify discrepancies between expected settlement payments and amounts received.
  • Process approved adjustments, reductions, refunds, and writeoffs according to company policy.
  • Ensure proper account closure once payment, reduction, or writeoff is completed.
    • Required Skills & Qualifications:Experience:
  • 35 years of medical billing and collections experience required.
  • Strong personal injury billing and collections experience required.
  • Experience working with attorneys, liens, Letters of Protection, settlement payments, and thirdparty liability claims required.
  • Experience in Orthopedic, Neuro Spine, Pain Management, Chiropractic, Podiatry, or surgical billing strongly preferred.
  • Strong understanding of CPT, ICD10, HCPCS, EOBs, itemized statements, and medical documentation.
  • Knowledge of personal injury case flow, including treatment, attorney representation, settlement negotiation, and lien recovery.
  • Experience handling highbalance medical accounts and negotiating payment resolutions.
    • Technical Proficiency:
  • Experience with medical billing software, EHR systems, claims management platforms, and account followup tools.
  • Proficient in Microsoft Excel, Outlook, and reporting tools.
  • Strong ability to maintain organized records and detailed account notes.
  • Knowledge of HIPAA compliance and best practices for protecting patient and case information.
    • Communication Skills:
  • Excellent written and verbal communication skills.
  • Ability to communicate professionally with attorneys, patients, providers, insurance carriers, and internal teams.
  • Strong negotiation, followup, and conflictresolution skills.
  • Ability to explain balances, liens, settlement expectations, and billing details clearly.
  • Comfortable making highvolume outbound calls and managing attorney correspondence.
    • Problem-Solving:
  • Strong analytical and detailoriented approach to resolving account discrepancies.
  • Ability to prioritize highdollar and timesensitive accounts.
  • Ability to manage multiple cases, deadlines, and followup tasks in a fastpaced environment.
  • Ability to work independently and collaborate with billing, clinical, and administrative teams.
    • Education:
  • High school diploma or equivalent required.
  • Associate’s or Bachelor’s degree in Healthcare Administration, Business, Legal Studies, or related field preferred.
  • Medical billing, coding, or healthcare collections certification preferred but not required.
    • Work Environment:
  • Officebased position
  • Standard working hours, MondayFriday
  • Occasional overtime may be required to meet collection goals, settlement deadlines, or urgent account needs
  • Collaborative team environment with opportunities for growth and advancement
    • Preferred Candidate Profile:
  • Experienced in personal injury medical billing and collections
  • Strong understanding of attorney followup, lien recovery, and settlement collections
  • Organized, professional, persistent, and detailoriented
  • Comfortable managing highvalue injuryrelated accounts
  • Able to communicate effectively with law firms, patients, insurance representatives, and internal departments

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