Medical Collector (Insurance Follow-up and Appeals)

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 claimsManage assigned claims from initial billing through final account resolutionInvestigate and resolve claim denials, partial payments, and underpaymentsReview Explanation of Benefits (EOBs) to identify appropriate follow-up actionsPrepare and submit appeals, corrected claims, rebills, and claim tracersReview accounts for appropriate adjustments, refunds, write-offs, and bad debt handlingCommunicate with insurance carriers, patients, and other third-party payers as neededConfirm billing accuracy for both electronic and paper claim submissionsReview remittance information and validate appropriate reimbursementResearch payer policies, reimbursement guidelines, and contractual terms to address payment discrepanciesEvaluate claim details and make timely decisions to move accounts toward resolution Productivity Expectations: Expected productivity of approximately 20-25 claims per dayConsistent focus on accuracy, quality, and timely account follow-up Required Qualifications: Minimum of 2 years of medical billing and collections experience requiredRecent (within the past 2 years) experience with physician or hospital billing requiredStrong knowledge of insurance collections, claim follow-up, and denial resolutionFamiliarity with healthcare reimbursement methodologiesAbility to independently research accounts, analyze claim issues, and determine appropriate next stepsBasic 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. #HC1