Medical Collector

Position Overview

A healthcare organization is seeking experienced Medical Collections Specialists to support insurance follow‑up and full‑cycle claims resolution. The role focuses on working claims from start to finish, including research, denial resolution, rebilling, and appeals. Candidates must reside in San Antonio, TX; the position is remote with a possible future onsite transition.

Key Responsibilities

• Perform insurance follow‑up on outstanding and aged claims.
• Work claims from initial billing through final resolution.
• Research and resolve denied or underpaid claims.
• Review Explanation of Benefits (EOBs) and determine next steps.
• Submit appeals, rebills, and tracers.
• Identify and process adjustments, refunds, and bad‑debt accounts.
• Communicate with insurance companies, patients, and third‑party payers.
• Verify billing information for both electronic and paper claims.
• Review remittance advice and ensure accurate reimbursement.
• Research payer guidelines and contracts to resolve discrepancies.
• Analyze claims and make decisions quickly to drive resolution.

Productivity Expectations

• Target of 18–20 claims per day.
• Strong emphasis on quality, accuracy, and timely follow‑up.

Required Qualifications

• 2+ years of medical collections experience.
• Experience working with UB‑04 (hospital billing).
• Strong understanding of insurance follow‑up and denial resolution.
• Knowledge of reimbursement methodologies.
• Ability to analyze claims and problem‑solve independently.
• Basic Excel and computer proficiency.

Preferred Qualifications

• Inpatient (IP) or hospital collections experience.
• Experience in LTACH (Long‑Term Acute Care Hospital) settings.

Systems Used

• WellSky HMS
• Payer portals

Work Environment

• Remote role (must reside in San Antonio, TX).
• Potential for future onsite requirement.
• Central Business Office (CBO) setting.
• Collaborative, team‑based environment.

Additional Details

• 2‑week training period on systems and processes.
• No planned time off allowed during the first 90 days (training period).
• Candidates should demonstrate job stability and long‑term interest.
• Strong communication skills required, including the ability to clearly explain past experience.

What Success Looks Like

• Ability to independently research and resolve complex claims.
• Strong critical thinking and attention to detail.
• Consistent productivity while maintaining accuracy.
• Proactive communication and follow‑through.

Pay

$24 – $26 per hour

Schedule

Monday – Friday, 7:30 AM – 4:00 PM

Benefits

• Medical
• Dental
• Vision
• 401(k)