About the Medical Collections II Role at Robert Half

Join Robert Half's esteemed client in Malvern, Pennsylvania, as a Medical Collections Specialist II in this exciting long-term contract position. If you're passionate about healthcare revenue cycle management, skilled in resolving complex insurance claims, and ready to make an impact in a dynamic medical billing environment, this opportunity is for you. Robert Half, a leader in professional staffing, connects top talent like you with rewarding roles in the healthcare sector. This position focuses on ensuring accurate and efficient resolution of insurance claims, denials, and billing issues, playing a pivotal role in maintaining financial health for healthcare providers.

In this role, you'll dive into high-priority accounts, investigate denials, and engage directly with insurance payers through outbound calls. Detail-oriented professionals who excel in fast-paced settings will find this position particularly rewarding. With Malvern, PA's growing healthcare hub, you'll contribute to essential services while advancing your expertise in medical collections. Whether you're experienced in AR follow-up, denial management, or payer relations, Robert Half offers the perfect platform to showcase your skills.

Why Medical Collections Matter in Healthcare Today

The healthcare industry faces increasing challenges with claim denials and delayed payments. Medical Collections Specialists like you are the frontline heroes who recover vital revenue, ensuring clinics and hospitals can continue providing top-tier patient care. Stay ahead with knowledge of evolving payer guidelines, HIPAA compliance, and advanced billing software.

Key Responsibilities

As a Medical Collections II Specialist, your day will be filled with impactful tasks designed to maximize collections and minimize revenue leakage. Here's what you'll do:

• Queue Management: Manage and review assigned claims within daily work queues, prioritizing accounts with the highest balances or urgency to optimize cash flow.
• Claim Investigation: Thoroughly investigate claims flagged for denials, aging issues, or outstanding balances, identifying root causes efficiently.
• Payer Outreach: Conduct outbound calls to insurance providers, addressing non-payment issues, appealing denials, and clarifying documentation requirements.
• Documentation Excellence: Accurately document all activities, correspondences, and status updates in the billing system for seamless audits and team handoffs.
• Research and Resolution: Perform in-depth research and apply critical thinking to resolve payment barriers, utilizing internal resources and industry best practices.
• Task Prioritization: Organize workflows to meet departmental deadlines, ensuring timely follow-ups on all outstanding claims.
• Team Collaboration: Partner with colleagues, coding teams, and escalations to tackle complex cases requiring additional documentation or payer negotiations.
• High-Volume Productivity: Maintain a robust call volume and follow-up cadence while upholding accuracy and compliance standards.
• Technical Proficiency: Leverage Microsoft Office Suite (Excel for reporting, Word for notes) and practice management software like Epic or Athenahealth.
• Continuous Learning: Keep abreast of payer-specific guidelines, common denial codes (e.g., CO-97, PR-204), and collections strategies to drive efficiency.

Required Qualifications

To succeed in this Medical Collections II role with Robert Half, bring the following:

• Proven experience in medical billing, collections, or AR follow-up, ideally in a healthcare setting.
• Strong knowledge of insurance claim processes, denial management, and payer policies (Medicare, Medicaid, commercial carriers).
• Excellent phone etiquette and communication skills for effective payer interactions.
• Detail-oriented mindset with exceptional organizational abilities to handle high-volume queues.
• Technical skills in Microsoft Office Suite and healthcare billing systems.
• Self-motivated with the ability to prioritize in a fast-paced environment.
• Familiarity with denial codes, appeals processes, and revenue cycle management principles.
• Problem-solving prowess for researching and resolving complex billing issues.
• High school diploma required; associate's or bachelor's in healthcare administration a plus.
• Ability to adapt to changing payer rules and departmental protocols.

Candidates with 2+ years in medical collections will stand out. Robert Half values diverse backgrounds and provides training for long-term success.

Why Join Us at Robert Half?

Robert Half offers more than just a job—it's a career launchpad. Enjoy competitive pay at $16.63/hour (approximately $34,600 annually based on full-time), a long-term contract with extension potential, and exposure to leading healthcare organizations in Malvern, PA. Benefit from Robert Half's renowned support, including career coaching, skill-building workshops, and access to exclusive job opportunities nationwide.

Work in a collaborative, supportive team where your contributions directly impact revenue recovery. Malvern's vibrant location provides easy access to Philadelphia's healthcare ecosystem, with perks like flexible scheduling and professional networking events. Join thousands of professionals who trust Robert Half for top-tier placements in medical collections, billing, and beyond. Apply today and elevate your healthcare finance career!

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