A healthcare organization is seeking experienced Medical Collections Specialists to support insurance follow-up and full-cycle claims resolution.
This role focuses on working claims from start to finish, including research, denial resolution, rebilling, and appeals.
Candidates must be located in San Antonio, TX. The role is currently remote, with a possibility of transitioning onsite in the future.
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
Requirements & 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 experience
- Inpatient (IP) or hospital collections experience
- Experience in LTACH (Long-Term Acute Care Hospital) settings
Benefits & Perks
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 weeks ago