Medical Collections Specialist - Hospital Claims

Location: Oklahoma (Remote) | Industry: Healthcare RCM

About the role

Addison Group is partnering with a healthcare revenue cycle organization that specializes in hospital accounts receivable recovery, denial management, and complex claims resolution. This is an excellent opportunity for experienced hospital collectors looking to join a growing remote team with strong leadership support and long-term career growth potential.

The Medical Collections Specialist is responsible for managing professional billing accounts receivable, researching denials, submitting appeals, and ensuring timely reimbursement from insurance carriers. This position requires strong analytical skills, knowledge of payer guidelines, and the ability to work independently while meeting productivity and quality expectations.

Responsibilities

• Investigate and resolve denied, underpaid, and unpaid professional claims.
• Conduct insurance follow-up with commercial and government payers.
• Prepare and submit appeals with supporting documentation.
• Analyze denial trends and identify opportunities for process improvement.
• Review and interpret EOBs and payer correspondence.
• Ensure timely filing requirements are met for maximum reimbursement.
• Maintain detailed documentation of claim activity, appeals, and account resolutions.
• Work closely with payers to resolve reimbursement issues and claim discrepancies.
• Escalate complex accounts when additional review or intervention is needed.
• Meet established productivity and quality metrics.

Requirements

• 2+ years of recent Hospital collections (UB04) experience required.
• Recent Epic experience required (within the last 3 years).
• Recent experience with denials, appeals, insurance follow-up, and claim resolution required.
• Ability to read and interpret EOBs and payer correspondence.
• Knowledge of commercial insurance, Medicare, Medicaid, Workers' Compensation, and managed care guidelines required.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently in a remote environment.

Pay

$20.00 - $22.00 per hour (based on years of experience)

Benefits

Medical, dental, vision, life insurance, and 401k eligibility.

Schedule

Flexible schedule between 9:00 AM – 5:30 PM