Hybrid Medical Collections and Revenue Cycle Specialist

at Hanna Interpreting Services LLC

• Job title: Medical Collections and Revenue Cycle Specialist
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $25 - $27 per hour
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Spring Valley, United States

About the role

• Medical Collections and Revenue Cycle Specialist focusing on collections, claim denials, and compliance. Managing AR processes and maintaining customer relationships in a healthcare setting.

Responsibilities

• Take full ownership of the accounts receivable (AR) portfolio, monitoring aging reports and driving collections of outstanding balances.
• Proactively follow up persistently with customers and payers on overdue invoices/claims via email, phone, and statements to secure timely reimbursements.
• Collaborate with leadership (Controller/Billing Lead) to reduce DSO and meet cash collection targets.
• Apply customer payments accurately and in a timely manner to open invoices.
• Reconcile customer accounts and follow up on short pays, overpayments, and unapplied funds.
• Identify chronic payment issues and work cross-functionally to improve collections processes.
• Act as the primary point of contact for claim denials, payment discrepancies, and invoice disputes.
• Research, analyze, and resolve rejected, denied, or underpaid claims by communicating with payers and customers.
• Utilize strong working knowledge of CPT/ICD codes and EOBs to understand denial reasons and manage the appeal process.
• Handle resubmissions and adjustments of rejected or denied claims, ensuring timely resolution and payment recovery.
• Document root causes of denials and implement corrective actions to reduce recurring errors.
• Ensure adherence to company policies, customer contracts, and regulatory requirements in all billing practices and claim appeals, including HIPAA.
• Investigate issues by coordinating with internal teams, such as Scheduling, Verification, Customer Service, and Operations, to gather missing documentation for claim resolution.
• Correct and reissue invoices as necessary to ensure resolution and maintain positive client relationships.
• Communicate with customers and payers to clarify claim formats, payment terms, and invoice policies.
• Respond promptly to billing inquiries from clients and internal departments.
• Document all dispute resolutions and update system records accordingly.
• Maintain up-to-date AR records and provide weekly aging and collections status reports to leadership.
• Prepare monthly and quarterly billing and reconciliation reports for customers and leadership.
• Identify gaps in billing, collections, and customer communication workflows and recommend improvements.
• Assist with bank reconciliations and month-end close processes.
• Support audit preparation and respond to inquiries related to AR and billing.

Requirements

• 2–3 years of experience in accounts receivable, medical collections, or claims processing (healthcare industry preferred)
• Strong experience managing AR aging, driving collections, and resolving disputed claims/invoices
• Strong knowledge of CPT/ICD codes, EOBs, and healthcare claim workflows
• Proficiency in QuickBooks Online; familiarity with billing/collections platforms like Interpreter Intelligence, YayPay, or XTRF is a plus
• Excellent organizational, analytical, and strong written and verbal communication skills
• Ability to work independently and prioritize in a deadline-driven environment, with high attention to detail and a customer service mindset

Benefits

• Medical, Dental, and Vision Insurance
• 401(k) with company match
• Generous PTO and paid holidays
• Professional development opportunities
• Employee assistance program
• Company-sponsored events and activities
• Hybrid Work Environment
• Pay Range: $25-27/hour