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Medicare Collection Specialist Jobs (NOW HIRING)

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Revenue Cycle Specialist - Medicare

Nashville, TN · On-site

Revenue Cycle Specialist (Medicare) Location: Nashville, TN/ Remote Status: Full Time Days: Monday ... Submit write off requests with documentation after all collection efforts have been exhausted to ...

Alive

Revenue Cycle Specialist - Medicare

Nashville, TN · On-site +1

Description Revenue Cycle Specialist (Medicare) Location: Nashville, TN/ Remote Status: Full Time ... Submit write off requests with documentation after all collection efforts have been exhausted to ...

Mission Health Communities

$55 - $75/hr

Prepare reports on collection activity, issues, and projections * Recommend process improvements to ... Knowledge of Medicare, state medical assistance programs, commercial payer reimbursement, contracts ...

New

Shah Eye Center

Billing Supervisor

Mission, TX · On-site

$40K - $44K/yr

Manage and supervise medical billing and collection activities to include Medicare, Medicaid ... Collection Specialists and Accounts Receivable Specialist. Enforce policies and procedures ...

Amerita

Medical Collections Lead / Remote

Englewood, CO · On-site +1

$22/hr

... the collection of all Accounts Receivable and denials including but not limited to Medicare ... specialist * Performs QA audits for proper management of A/R and evaluation of collector ...

Amerita

Medical Collections Lead / Remote

Englewood, CO · On-site +1

$18 - $22.50/hr

... the collection of all Accounts Receivable and denials including but not limited to Medicare ... specialist * Performs QA audits for proper management of A/R and evaluation of collector ...

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How much do medicare collection specialist jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medicare collection specialist in the United States is $21.46, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $24.04 per hour, depending on experience, location, and employer.

What is a Medicare Collection Specialist?

Medicare Collection Specialists are professionals who manage and collect payments related to Medicare insurance claims. They work with healthcare providers, insurance companies, and patients to ensure that claims are processed correctly and outstanding balances are collected in a timely manner. Their duties include reviewing patient accounts, resolving billing discrepancies, submitting appeals for denied claims, and communicating with both Medicare representatives and patients. By efficiently handling these tasks, they help healthcare organizations maintain financial stability and compliance with Medicare regulations.

What are the key skills and qualifications needed to thrive as a Medicare Collection Specialist, and why are they important?

To thrive as a Medicare Collection Specialist, you need strong knowledge of medical billing, Medicare regulations, and claims processing, often supported by experience in healthcare administration or certification such as Certified Professional Biller (CPB). Familiarity with billing software, electronic health records (EHR) systems, and claims management platforms is typically required. Attention to detail, problem-solving, and effective communication skills help ensure accurate claim submission and resolution of payment discrepancies. These skills are crucial for maximizing reimbursement, maintaining compliance, and supporting the financial health of healthcare organizations.

How does a Medicare Collection Specialist typically interact with other departments to resolve outstanding claims?

As a Medicare Collection Specialist, you will regularly collaborate with billing, coding, and patient services teams to resolve outstanding claims. Coordination with coders helps clarify any discrepancies in medical coding, while working with billing staff ensures that claims are submitted accurately and on time. You may also communicate with insurance representatives to gather additional information or appeal denied claims. This teamwork-oriented environment requires strong communication skills and attention to detail to ensure prompt reimbursement and compliance with Medicare regulations.

What is the difference between Medicare Collection Specialist vs Medical Billing Specialist?

AspectMedicare Collection SpecialistMedical Billing Specialist
CredentialsKnowledge of Medicare policies, certifications may include medical billing or codingMedical billing or coding certifications often required
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesHospitals, clinics, or healthcare offices
Employer & IndustryPrimarily in healthcare and insurance sectorsHealthcare providers and billing services
Search & Comparison IntentFocuses on Medicare-specific collections and regulationsBroader medical billing processes across insurance types

The Medicare Collection Specialist primarily handles Medicare-specific billing and collections, requiring knowledge of Medicare policies. In contrast, the Medical Billing Specialist manages billing for various insurance types, including private and government plans. While both roles involve billing and coding, the Medicare Collection Specialist specializes in Medicare regulations and claims, making it essential for those working specifically with Medicare reimbursements.

More about Medicare Collection Specialist jobs

What job categories do people searching Medicare Collection Specialist jobs look for?

The top searched job categories for Medicare Collection Specialist jobs are:

Medicare Collection Specialist jobs near you
Infographic showing various Medicare Collection Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $44,646 per year, or $21.5 per hour.

Revenue Cycle Specialist - Medicare

Alive

Nashville, TN • On-site

Full-time

Re-posted 18 days ago

Key responsibilities

  • Generate patient claims through EMR billing system and upload files to clearinghouse.

  • Follow up on unpaid claims, review, and correct claim issues to ensure timely payment.

  • Work with the Department Director on Medicare credit balances and notify of any claim or process problems.

Job description

Description:
Revenue Cycle Specialist (Medicare)Location: Nashville, TN/ RemoteStatus: Full TimeDays: Monday - FridayHours: 40/week
Are you a Revenue Cycle/professional who desires to work in a capacity in which your efforts directly impact clinicians, patients and their families? If you are excited to use your talents and skill set in a way that truly makes a difference in the middle Tennessee healthcare market, we can't wait to talk with you!
SUMMARY

Primarily responsible for generating billing cycles posting payments and follow-up on claims to ensure timely payment.


ESSENTIAL DUTIES AND RESPONSIBILITIES

  1. Generates patient claims through EMR billing system. Upload EMC file to clearinghouse as soon after target bill date and errors/holds are clear. Continue review of unsubmitted claims to avoid timely filing errors.
  2. Manage and hold claims waiting compliance review completion. Work with Revenue Cycle team to ensure billing compliance.
  3. Review, key or follow up on 81A (NOE) prior to submission of initial claim. (if applicable to assigned duties)
  4. Review, key or follow up on 815's, 817's and 818's when necessary.
  5. Review and corrects RTP's in the DDE system on a regular basis.
  6. Post Medicare PIP remittance advices through Clearinghouse auto post or manually when necessary.
  7. Follows up regularly on unpaid claims by using DDE or phone call to PBGA service center for assistance or unresolved claim issues. Document response and any follow-up actions taken in EMR.
  8. Work with the Dept. Director on Medicare credit balances to ensure compliance.
  9. Work with other Hospice agencies to ensure smooth transitions between benefit periods and sequential billing.
  10. Notifies the Dept. Director of any problems with claims or processes.
  11. Assists other Revenue Cycle Specialist as needed to meet department goals.
  12. Submit write off requests with documentation after all collection efforts have been exhausted to the Dept. Director.
  13. Run admission report, assign and enter appropriate ICD-10 codes into EMR based on physician CTI. (if applicable to assigned duties)
  14. Using pre-bill CPT audit sample to complete compliance review through physician coding compliance software. Report findings to appropriate Directors and CMO. (if applicable to assigned duties)
  15. Report individual finds to the physician for review and resolution of the coding discrepancy. After physician review/approval make coding changes and note in EMR. Report to billing staff when claim can be released. (if applicable to assigned duties)
  16. Other duties may also be assigned.



Requirements:

EDUCATION and/or EXPERIENCE

High School diploma required. One year college or technical school: one to three years related experience or equivalent combination of education and experience.


CERTIFICATES, LICENSES, REGISTRATIONS

If required to drive to carry out the duties of this position: current driver's license and automobile insurance as required by Tennessee State Law.