Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)

Job Details

Potential Start Date: 4/27/2026
Location: Onsite- (Sugarland, Texas 77478)
Compensation: $17- $17.50 per hour (based on experience) + quarterly bonus eligibility
Shift: Monday – Friday, 9:00 AM – 6:00 PM

About the Role

Join Our Team as a Medical Collections & Insurance Follow-Up Specialist!

Responsibilities

• Manage delinquent accounts and ensure timely insurance claim resolution
• Follow up with insurance carriers on claim status and payment resolution
• Review accounts to identify claim issues, denials, or delays
• Verify insurance eligibility, coverage, and claim filing status
• Re-bill and submit corrected claims as needed
• Request and review documentation to support claim processing
• Identify root causes of claim issues and escalate when appropriate
• Work assigned accounts to resolve outstanding balances
• Analyze account history and determine appropriate next steps for resolution
• Ensure timely follow-up and account progression through the revenue cycle
• Maintain accuracy in account documentation and updates
• Document all account activity accurately in systems
• Collaborate with internal billing and operations teams
• Ensure compliance with all Federal, State, and company guidelines
• Identify trends and recommend process improvements

Requirements

• High School Diploma or GED required
• 1–2+ years of experience in insurance follow-up, AR, or medical billing REQUIRED
• Strong understanding of:
• Insurance claims and denials
• EOBs and payment posting
• Revenue cycle processes
• Healthcare call center or backend AR experience preferred

Qualifications

• Strong analytical and problem-solving skills
• Ability to manage workload and meet productivity goals
• Experience with billing systems (EPIC a plus)
• Proficient in Microsoft Office
• Typing speed: 35 WPM with no more than 3 errors
• Bilingual (Spanish) a plus

Benefits

• Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
• Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
• 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service.
• Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
• Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.