Position: Medical Collector (Out of Network) Pay: $18-$24/hr. (Based on Years of Experience) Job Type: Full-time Hours: M-F, Flexible Hours Location: Houston TX 77077 (100% Onsite Role)
A Day in the Life: A Medical Collector is responsible for managing and optimizing the revenue cycle by ensuring the timely and accurate collection of outstanding medical bills and claims from patients and insurance companies.

• Preparing and processing claims; clearing billing edits; claim validation and submittal; and receivable follow up to ensure that claims are paid timely, accurately, and compliantly
• Ensures that all claims billed are complaint with state and federal regulations, and all payments received by the insurances are correct
• Posts adjustments, refunds, and contractual allowances.
• Research, appeal, and resolve unpaid insurance claims
• Working & negotiating with insurance companies, specific to Out of Network Claims

Requirements:

• 3+ years experience with Out of Network Claims
• Physician or Facility Claims experience
• Experience with EOBs
• No Surprise Act experience is a plus!

Why choose Addison Healthcare?

• Benefits: You are eligible for medical, dental, vision insurance benefits AND 401K match
• Bonuses: You are eligible for monetary bonuses
• Permanent Employment: The majority of Addison Healthcare job openings lead to potential permanent employment
• Connections: You are connected directly with hiring managers from hospitals, physician groups, and healthcare consulting companies
• Options: You are presented multiple employment location options near your home
• Professional Development: You are provided hiring process advice, resume revision, and employment term negotiation
• Confidential: Your career search is confidential and your resume is not online
• Feedback: You receive immediate feedback on your candidacy for jobs
• Urgency: Your level of urgency to find your next career matches our level of urgency

Key Words: Remittance Advice, EDI, UB-04, CMS 1500, Medical Collector, Patient Account Representative, Patient Account Rep, Medical Accounts Receivable Specialist, AR Specialist, A/R Specialist, Insurance Collector, Medicaid Collector, Commercial Collector, Appeals Analyst, Denials, Reimbursement Specialist, Medical Reimbursement
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.