Insurance Follow-Up Representative – Medicaid Managed Care
Houston, TX
Category: Healthcare
Reference ID: 10068946
Shortcut: http://addisongroup.gosnaphop.com/zJccgS
Job Title: Insurance Follow-Up Representative – Medicaid Managed Care
Location: Houston, TX (West Houston)
Industry: Healthcare
Pay: $21 – $23 per hour
Job Type: Contract-to-Hire
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a healthcare organization seeking an experienced Insurance Follow-Up Representative to support physician billing and collections. This role focuses on resolving Medicaid Managed Care claims and is ideal for candidates with strong payer follow-up and denial resolution experience.
Job Description:
The Insurance Follow-Up / Denials Representative will manage assigned accounts within a revenue cycle team, working to resolve denials, rejections, and outstanding claims. This position requires strong knowledge of professional billing workflows, payer guidelines, and the ability to work efficiently within a high-volume environment.
After an initial onsite training period, this role transitions to a hybrid schedule.
Key Responsibilities:
- Follow up on physician claims and resolve denials, rejections, and unpaid balances.
- Work within EMR work queues to manage assigned accounts.
- Communicate with Medicaid Managed Care payers to obtain claim status and resolve issues.
- Submit corrected claims, reconsiderations, and appeals as needed.
- Analyze EOBs and payer responses to determine appropriate next steps.
- Identify and resolve billing and registration-related denials.
- Maintain detailed and accurate documentation of all account activity.
- Work accounts through full resolution from initial denial to payment.
- Meet productivity and quality benchmarks.
Qualifications:
- Recent physician insurance follow-up experience required (CMS-1500 claims).
- Strong experience with denials, appeals, corrected claims, and rejections.
- Experience with Medicaid Managed Care (MCO) payers required (STAR, STAR+, CHIP, etc.).
- Familiarity with major payers such as Molina, UHC, Aetna, and similar plans preferred.
- Experience with Epic or similar EMR systems strongly preferred.
- Strong understanding of payer guidelines and claim resolution processes.
- Ability to work independently and manage high-volume workloads.
- Strong communication and documentation skills.
Additional Details:
- Schedule: Monday – Friday, 8 - hour shift (start as early as 7:00 AM)
- Work Model: Hybrid (remote most days with periodic onsite requirements after training)
- Training: Approximately 1 – 4 weeks onsite
- Assignment Type: Contract-to-Hire
- Environment: Business office revenue cycle team
- Start Date: ASAP
Perks:
- Hybrid work flexibility after onboarding
- Opportunity to gain experience in a large healthcare system environment
- Strong team support and structured workflows
- Career growth potential within revenue cycle operations
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
#HC3
-
Medical Collections Representative
Houston, TX
Job Title: Medical Collections Representative – Physician Billing (Epic Required, Hybrid) Location: Houston, TX (Galleria Area) Industry: Healthcare / Revenue Cycle Management Pay: $20–$23 per hour Job Type: Contract Benefits: This position is eligible...
Recommended
-
Denials Specialist
Houston, TX
Job Title: Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management Pay: $26.00 - $28.00 / Hourly Job Type: Direct Hire Benefits: This position is eligible for medical, dental, vision, life insurance and 401k....
Recommended
-
Medical Insurance Collector
Houston, TX
Job Title: Medical Insurance Collector Location: Houston, TX (Galleria Area/MUST be local to Houston) Industry: Healthcare Revenue Cycle Management Pay: $18 - $22 / hr Benefits: This position is eligible for Dental, Vision, Medical, 401(k) benefits. Ab...
Recommended
-
Hospital Insurance Follow Up Representative
Chicago, IL
Job Title: Hospital Insurance Follow Up Representative Location: Chicago, IL Industry: Healthcare / Revenue Cycle Pay: $25 – $26 / hour, depending on experience Benefits: This position is eligible for Medical, Dental, Vision, and 401K benefits Job Desc...
Recommended
-
Insurance AR Follow-Up Specialist
Phoenix, AZ
Job Title: Insurance AR Follow-Up Specialist (Contract-to-Hire) Location (city, state): Phoenix, AZ 85016 Industry: Healthcare / Revenue Cycle Schedule: Monday to Friday - 8:00am to 5:00pm Pay: $18.50 – $25.00/hour Benefits: Medical, dental, and vision...
Recommended
-
Retina Billing Specialist - Remote or Hybrid
Anywhere
Position: Billing Specialist (AR Follow-Up) Location: Southlake, TX (Hybrid if local or Remote for outside of DFW) Pay Range: $24–$28 per hour Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST Employment Type: Direct Hire Benefits: This role is eligible...
Recommended
-
Medical Biller
Mendota Heights, MN
Job Title: Medical Biller Location: St. Paul, MN, must be able to work on-site Industry: Healthcare Pay Rate: $23.00 - $29.00 / Hourly Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: We are currently hiring...
Recommended
-
Billing & Collections Analyst
Silver Spring, MD
Role: Billing & Collections Employment Type: Full-Time, Direct Hire Compensation: Salaried - $30-$34/hr (based on experience) Location: Silver Spring, MD Industry: Medical, Hospital, Healthcare Benefits: This position is eligible for medical, dental, v...
Recommended
-
Medical Collector
San Antonio, TX
Position: Medical Collections Specialist (Hospital/Insurance Follow-Up) Location: Remote (Must be based in San Antonio, TX) Pay Range: $24 – $26 / Hour Schedule: Monday – Friday, 7:30 AM – 4:00 PM Benefits: This position is eligible for medical, dental...
Recommended
-
Precertification Specialist
Albany, GA
Job Title: Precertification Specialist Location: Albany, GA (Onsite) Compensation: $16–$22/hour Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: Addison Group is hiring on behalf of our client for a Precerti...
Recommended
-
Medical Collector
Plano, TX
Position: 1 LTACH Commercial Collector 1 Outpatient Collector Location: Remote (Candidates must reside in San Antonio, TX) Openings: 2 Pay Rate: $24–$26/hour Hours: Flexible start between 7–9 AM, 8-hour workday Position Summary: These roles support ful...
Recommended
-
Medical Collections Specialist (Outpatient)
San Antonio Metro Area, Texas
Job Title: Medical Collections Specialist (Outpatient) Industry: Healthcare Location (city, state): San Antonio, TX (Remote – must be local) Compensation: $21.00 – $24.00 / Hourly Benefits: This position is eligible for medical, dental, vision, and 401...
Recommended
-
Revenue Cycle Coordinator
Chicago, IL
Job Title: Revenue Cycle Coordinator Location: Chicago, IL (Onsite) Compensation: $22 – $26 / hour (Based on experience) Employment Type: Contract-to-Hire Schedule: Monday – Friday | 8:30 AM – 5:00 PM Benefits: This position is eligible for medical, de...
Recommended
-
HR Generalist
Houston, TX
Position Title: HR Generalist Location: Houston, TX Assignment Type: 3-month contract with potential for contract-to-hire Compensation: $31 - $36 / hour Work Schedule: Monday–Friday, 8:30 a.m. – 4:30 p.m. Benefits: This position is eligible for medical...
Recommended
-
Operations Coordinator
Houston, TX
Position Title: Operations Coordinator Location: Houston, TX Assignment Type: 3-month contract with potential for contract-to-hire Compensation: $22 - $23 / Hr Work Schedule: Monday – Friday, 8:30 a.m. – 4:30 p.m. Benefits: This position is eligible fo...
Recommended
-
Claims Processor AND Customer Service Representative
Tulsa, OK
Job Title: Claims Processor / Customer Service Representative Location: Tulsa, OK (Onsite) Industry: Healthcare / Benefits Administration Pay: $20 – $22 / hour Benefits: This position is eligible for medical, dental, and 401k benefits About Our Client:...
Recommended
-
Patient Service Representative
Houston, TX
Job Title: Patient Service Representative Location: Southeast Houston (77058) Industry: Healthcare Pay: $20 – $24 per hour (based on years of experience) Job Type: Contract Benefits: This position is eligible for medical, dental, vision, life insurance...
Recommended
-
Insurance Verification Specialist
Phoenix, AZ
Job Title: Insurance Verification Specialist (Contract-to-Hire) Location (city, state): Phoenix, AZ 85016 Industry: Healthcare / Revenue Cycle Pay: $19.00 – $21.00 / hour Benefits: Medical, dental, and vision coverage, 401(k), paid holidays and plus PT...
Recommended
-
Financial Counselor
Prescott, AZ
Job Title: Financial Counselor Location: Prescott, AZ (Onsite) Industry: Healthcare Pay: $20–$22/ hour based on experience Benefits: This position is eligible for medical, dental, vision, and 401k benefits About Our Client: Addison Group is working wit...
Recommended
-
MEP Project Manager
Houston Metro Area, Texas
Location: Houston, Texas Schedule: Onsite Monday–Friday with regional travel to customer sites Compensation: $100,000-$120,000 Role Overview The MEP Project Manager is responsible for driving and managing project-based sales opportunities across mechan...
Recommended
-
Patient Collector
Dallas Metro Area, Texas
Position: Patient Collector Location: Southlake, TX (Hybrid – onsite Tuesday–Thursday) - Open to remote candidates as well Salary Range: $22.00 – $25.00 / Hourly Employment Type: Direct Hire Schedule: Monday–Friday, 8:00 AM – 5:00 PM CST Number of Open...
Recommended
-
Credit & Collections Manager
Houston Metro Area, Texas
Job Title: Credit & Collections Manager Location: North Houston, TX Compensation: $36 - $45 / hour Benefits: This position may be eligible for medical, dental, vision, and 401(k). Job Summary We are seeking an experienced Credit & Collections Manager t...
Recommended
-
MEP Project Executive
Houston Metro Area, Texas
Project Executive – MEP (Electrical & Mechanical) Location: Houston, Texas Compensation: $130,000 – $160,000 Role Summary Seeking an experienced Project Executive with 15+ years of commercial MEP construction experience to provide senior leadership acr...
Recommended
-
IT Support Analyst
Houston, TX
Role: IT Support Analyst Location: Houston, TX Pay Range: $55,000- $60,000 / year Benefits: This position is eligible for medical, dental, vision and 401(k). JOB DESCRIPTION An organization is seeking a full-time IT Tier 1 Support Analyst to join its I...
Recommended
-
Direct Hire Recruiter
Houston, TX
Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffing, as well as consulting services. We have made “Best of Staffing” lists for multiple years and continue to enjoy many acc...
Recommended
-
EDI Specialist
Houston Metro Area, Texas
Role: EDI Specialist Location: Houston, TX Pay Range: $80000- $90000 / year Benefits: This position is eligible for medical, dental, vision and 401(k). About the Role We’re looking for a detail-oriented problem solver to support and optimize EDI operat...
Recommended
-
Paralegal, Legal Assistant
Houston, TX
Position Title: Paralegal/ Legal Assistant Location: Houston, TX Assignment Type: Direct Hire Compensation: $60,000-70,000 Work Schedule: Monday–Friday, 8-5 Benefits: This position is eligible for medical, dental, vision, and 401(k). Summary / Role Ove...
Recommended
-
AI Business Analyst
Houston, TX
Role: AI Business Analyst Location: Houston, TX Pay: $60 - $90 / hour Benefits: This role is eligible for medical, dental, vision and 401k. Job Summary: We are looking for a Business Analyst with strong analytical and problem-solving skills to trace is...
Recommended
-
Medical Billing Specialist
Braintree, MA
Job Title: Medical Billing & Accounts Receivable Specialist Industry: Healthcare Services Location: Quincy, MA Compensation: $24 – $28 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k) Work Schedule: Monday–Friday | 8.5...
Recommended
-
Marketing Manager
Houston, TX
Role: Marketing Manager Location: Houston, TX Pay Range: $70,000- $80,000 / year Benefits: This position is eligible for medical, dental, vision and 401(k). About the Opportunity We’re looking for a Marketing Manager to take ownership of driving demand...
Recommended