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Medical Collections Specialist

Medical Collections Specialist

TEKsystemsSaint Louis, MO, US
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Job Description

Job Description

To be considered for this role, candidates must have experience with NextGEN.

Job Description

Medical Collections Specialists are responsible will managing tasks related to rejected, denied, and outstanding insurance claims, ensuring accuracy throughout the billing process. This includes addressing issues such as missing or incomplete documentation, delays in claim processing due to submission requirements, and credentialing concerns. Success in this role depends on thorough research, timely communication, and proactive problem-solving.

  • Complete accounts receivable collections and follow-ups to expedite insurance payments for assigned claims.
  • Contact insurance companies via phone, mail, or clearinghouse correspondence to address account inquiries and update information.
  • Communicate claim issues related to patient benefits to the verification team and field staff for resolution.
  • Proactively collaborate with third-party payers to resolve claims processing issues, improve communication, and stay updated on changes to plan requirements.
  • Assist in streamlining policies and procedures for more effective and efficient operations of third-party carriers, providing updates to the Billing Supervisor as needed.
  • Prepare and assist with monthly reports, focusing on key indicators, payer issues, and unit performance, to improve metrics such as DSO (Days Sales Outstanding).
  • Process appeals by gathering required documentation, resubmitting claims, and following up promptly to track resolution.

Skills

EMR, claims resolution, billing collections, medical collections, accounts payable / receivable, Hospital billing

Qualifications

To succeed in this role, candidates must meet the following qualifications :

  • Education : Bachelor’s degree or Associate’s degree with 3 years of professional office experience, or High School diploma / GED with 5 years of experience (healthcare setting preferred).
  • Strong attention to detail and a thorough, results-oriented work ethic.
  • Self-motivated, with a professional curiosity to learn and recommend innovative solutions.
  • Ability to adapt in a fast-paced environment, remain calm under pressure, and multitask effectively.
  • Knowledge of insurance benefit coordination, medical billing, and credentialing.
  • Experience analyzing and interpreting data to prepare actionable reports.
  • #priorityeast

    Pay and Benefits

    The pay range for this position is $23.00 - $27.00 / hr.

    Eligibility requirements apply to some benefits and may depend on your job

    classification and length of employment. Benefits are subject to change and may be

    subject to specific elections, plan, or program terms. If eligible, the benefits

    available for this temporary role may include the following :

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off / Leave (PTO, Vacation or Sick Leave)
  • Workplace Type

    This is a hybrid position in Saint Louis,MO.

    Application Deadline

    This position is anticipated to close on Oct 24, 2025.

    h4>

    About TEKsystems :

    We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

    The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

    About TEKsystems and TEKsystems Global Services

    We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

    The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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