Medical Collector (Insurance Follow-up and Appeals)
San Antonio, TX
Category: Healthcare
Reference ID: 10029278
Shortcut: http://addisongroup.gosnaphop.com/EWnB7E
Position: Medical Collector (Insurance Follow-up/Appeals)
Location: Remote (Must be based in San Antonio, TX)
Pay Range: $24–$26 / hour
Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits.
Position Overview:
A healthcare organization is looking for experienced Medical Collections Specialists to manage insurance follow-up and assist with the complete resolution of outstanding claims. This position will be responsible for working accounts throughout the full claims lifecycle, including claim research, denial follow-up, corrected billing, appeals, and resolution.
Candidates must currently reside in or near San Antonio, TX. The position is remote at this time; however, may eventually require going into the office.
Key Responsibilities:
- Follow up with insurance carriers regarding unpaid, outstanding, and aging claims
- Manage assigned claims from initial billing through final account resolution
- Investigate and resolve claim denials, partial payments, and underpayments
- Review Explanation of Benefits (EOBs) to identify appropriate follow-up actions
- Prepare and submit appeals, corrected claims, rebills, and claim tracers
- Review accounts for appropriate adjustments, refunds, write-offs, and bad debt handling
- Communicate with insurance carriers, patients, and other third-party payers as needed
- Confirm billing accuracy for both electronic and paper claim submissions
- Review remittance information and validate appropriate reimbursement
- Research payer policies, reimbursement guidelines, and contractual terms to address payment discrepancies
- Evaluate claim details and make timely decisions to move accounts toward resolution
Productivity Expectations:
- Expected productivity of approximately 20-25 claims per day
- Consistent focus on accuracy, quality, and timely account follow-up
Required Qualifications:
- Minimum of 2 years of medical billing and collections experience required
- Recent (within the past 2 years) experience with physician or hospital billing required
- Strong knowledge of insurance collections, claim follow-up, and denial resolution
- Familiarity with healthcare reimbursement methodologies
- Ability to independently research accounts, analyze claim issues, and determine appropriate next steps
- Basic proficiency with Microsoft Excel and general computer systems
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.
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