Outpatient Collector

TEKsystems

United States

À distance

USD 33 000 - 36 000

Plein temps

Il y a 8 jours

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Avantages offerts par ce poste

Medical, dental & vision
401(k) retirement plan
Life Insurance
Disability (short & long-term)
HSA

Résumé du poste

TEKsystems is seeking a Medical Billing Specialist for a Contract to Hire remote role based out of San Antonio, TX. You will respond to government payers by phone or email, review and submit outpatient claims, and work with the Collections Team to resolve denials and aging A/R.

The role requires 3+ years of medical billing experience with major payors, knowledge of CPT/HCPCS codes, and the ability to obtain medical records and prebill documentation.

Qualifications

  • 3+ years of related experience in medical billing with top major payors (United Healthcare, BCBS, Kaiser, HCSC, Florida Blue)
  • Must have understanding of OP services such as Wound Care, Hyperbaric, and Physical Therapy
  • Worker Comp Billing, Tricare, VA is a plus
  • Must have 2+ years Outpatient Billing
  • Prepare, review, and submit accurate outpatient claims to payers
  • Ensure correct 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 FollowUp
  • 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

Responsabilités

  • 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 others as a team player, as well as the hospital/clinic staff
  • Investigates COB issues and communicates with appropriate staff members for resolution
  • Responsible for obtaining medical records required for certain commercial claims
  • Ensure all prebilling tasks are completed and correct information is sent out on claims
  • Provide support to all facilities when requests are received or assistance is needed. Be timely and responsive to all requests
  • Treat our facilities as Respects dignity and confidentiality by adherence to all applicable policies and procedures
  • Promotes the Mission and Vision of Post Acute Medical within the work environment and the community
  • Maintains the highest level of customer service via courtesy, compassion and positive communication

Connaissances

Payment posting
Medical
Payment poster
Data entry
Medical billing
medicaid
Collection calls
Revenue cycle
outpatient
wound care
physical therapy

Description du poste

Description

Respond to Government payers by phone or correspondence concerning claims issues.

Assists 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 others as a team player, as well as the hospital/clinic staff.

Investigates COB issues and communicates with appropriate staff members for resolution.

Responsible for obtaining medical records required for certain commercial claims.

Ensure all prebilling tasks are completed and correct information is sent out on claims.

Provide support to all facilities when requests are received or assistance is needed. Be timely and responsive to all requests. Treat our facilities as

Respects dignity and confidentiality by adherence to all applicable policies and procedures.

Promotes the Mission and Vision of Post Acute Medical within the work environment and the community.

Maintains the highest level of customer service via courtesy, compassion and positive communication.

Top Skills Details

Payment posting,Medical,Payment poster,Data entry,Medical billing,medicaid,Collection calls,Revenue cycle,outpatient,wound care,physical therapy

Additional Skills & Qualifications

3+ years of related experience in medical billing experience with the top major Payors (United Healthcare, BCBS, Kaiser, HCSC, Florida Blue)

Have a full understanding of some of the top services for OP such as: Wound Care, Hyperbaric, and Physical Therapy

Worker Comp Billing, Tricare, VA is plus

(Must have 2+ years) Outpatient Billing

Prepare, review, and submit accurate outpatient claims to payers

Ensure correct CPT/HCPCS codes, modifiers, and charges are applied

Validate authorizations, medical necessity, and documentation prior to billing

Correct claim errors and rebill as needed

(MUST HAVE 2+ years) Outpatient Collections & A/R FollowUp

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

Experience Level

Intermediate Level

Job Type & Location

This is a Contract to Hire position based out of San Antonio, TX.

Pay and Benefits

The pay range for this position is $24.00 - $26.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your jobclassification and length of employment. Benefits are subject to change and may besubject to specific elections, plan, or program terms. If eligible, the benefitsavailable for this temporary role may include the following:Medical, dental & visionCritical Illness, Accident, and Hospital401(k) Retirement Plan Pre-tax and Roth post-tax contributions availableLife Insurance (Voluntary Life & AD&D for the employee and dependents)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract to Hire position based out of San Antonio, TX.

Application Deadline

This position is anticipated to close on Nov 18, 2026.

Workplace Type

This is a fully remote position.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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