Outpatient Billing & Collections Specialist (Remote)

TEKsystems; San Antonio (TX); Remote; USD 33,000 - 36,000; Full time

Job summary

TEKsystems is seeking a remote Medical Billing Specialist to support government payer claims and Medicare issues from San Antonio, TX. The role focuses on timely billing, denials resolution, and aggressive collection of aged accounts.

You will handle outbound payer follow-up, review claims for accuracy, and collaborate with hospital staff to ensure compliant and complete documentation. Remote work is supported for this contract-to-hire position.

Qualifications

• 3+ years of medical billing experience with major payors (United Healthcare, BCBS, Kaiser, HCSC, Florida Blue)
• 2+ years outpatient billing
• Prepare, review, and submit accurate outpatient claims to payers
• Ensure CPT/HCPCS codes, modifiers, and charges are applied
• Validate authorizations, medical necessity, and documentation prior to billing
• Correct claim errors and rebill as needed
• 2+ years Outpatient Collections & A/R Follow-Up
• Manage outpatient A/R from billing through final payment resolution
• Perform payer followup on unpaid, denied, and underpaid claims
• Identify and resolve payment discrepancies and underpayments
• Work payer portals, EOBs, and clearinghouses to determine claim status

Responsibilities

• Respond to Government payers by phone or correspondence concerning claims issues.
• Assist with all calls, correspondence and concerns regarding Medicare claims with the FIs.
• Take action on bill review requests from the Collections Team in a timely manner.
• Complete worklist daily and ensure all accounts are set for follow up.
• Review unbilled accounts and ATB to ensure timely billing and collection.
• Communicate all denials to the billing supervisor.
• Aggressively work aged accounts to expedite cash, reduce bad debt and A/R days.
• Meets corporate goals monthly on billing and collections.
• Works with hospital/clinic staff as a team player.
• Investigates COB issues and communicates with appropriate staff for resolution.

Skills

Payment posting

Medical

Payment poster

Data entry

Medical billing

medicaid

Collection calls

Revenue cycle

outpatient

wound care

physical therapy

Job description

TEKsystems is seeking a remote Medical Billing Specialist to support government payer claims and Medicare issues from San Antonio, TX. The role focuses on timely billing, denials resolution, and aggressive collection of aged accounts.

You will handle outbound payer follow-up, review claims for accuracy, and collaborate with hospital staff to ensure compliant and complete documentation. Remote work is supported for this contract-to-hire position.