Job Details

Job Description

We are seeking a detail-oriented and highly motivated Medical Collections Representative to join our Patient Financial Services team at a leading healthcare system in Baltimore. In this role, you will be responsible for the accurate and timely follow-up of third-party and patient billing accounts. This is a key position ensuring financial accuracy and promoting revenue cycle performance through effective collections, denial resolution, and payer communication.

This role is ideal for professionals with a strong background in hospital collections, excellent analytical skills, and a passion for delivering outstanding patient service.

Key Responsibilities:

• Review adjudicated claims to verify timely and appropriate reimbursement.

• Research and resolve unpaid claims; correct and resubmit or reprocess as needed.

• Submit adjustment requests daily in accordance with payer guidelines.

• Verify account balances for accuracy by reviewing charges, payments, and adjustments.

• Review Explanation of Benefits (EOB) documents to resolve underpayments and denials.

• Work directly with insurance carriers to appeal denied claims and pursue underpayments.

• Track and identify denial trends and work proactively to address recurring issues.

• Confirm insurance eligibility and ensure compliance with authorization/referral requirements.

• Prepare and submit appeals and reconsideration requests within payer timelines.

• Collaborate with refund specialists to initiate insurance refund requests as needed.

• Meet established productivity benchmarks and quality expectations.

• Respond professionally to patient inquiries and maintain a high level of customer service.

• Maintain strict confidentiality of all patient and organizational information.

• Work collaboratively across departments to support overall revenue cycle performance.

• Participate in quarterly payer meetings and stay current with payer updates and policies.

Minimum Qualifications:

• High School Diploma or GED required.

• Minimum of 3 years of hospital collections experience required.

• Strong working knowledge of third-party payers, billing practices, and claim adjudication.

• Proven accuracy in data entry and financial calculations.

• Strong analytical, problem-solving, and follow-through skills.

• Ability to work independently and manage a full workload with minimal supervision.

• Proficiency in Microsoft Excel, PC tools, and calculator usage.

• Familiarity with interpreting EOBs and working within hospital billing systems.
  Background check to include Federal, State and Counties. Drug Screening is required
  Current Season Flu vaccine required

Desired Attributes:

• Highly organized and detail oriented.

• Strong interpersonal and communication skills.

• Customer-service oriented with a positive and professional demeanor.

• Team player with a collaborative spirit and willingness to support colleagues.

• Flexible and adaptable in a dynamic, fast-paced healthcare environment.

Why Join Us?

At our Baltimore healthcare system, you'll be part of a mission-driven team focused on delivering high-quality patient care. This temp-to-perm opportunity offers career growth, stability, and the chance to make a real impact in the healthcare revenue cycle.

Ready to take the next step in your healthcare finance career? Apply now to join a team that values integrity, accountability, and excellence in every interaction.

Choose 1st Choice — we care about our people, offer great benefits, and create real opportunities to grow. With 20+ years of nationwide staffing success, we're here to help you thrive. We’re an equal opportunity employer and welcome all qualified applicants.