Remote Medical Collections Specialist - Hospital Claims

Addison Group; Oklahoma; Remote; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401k

Job summary

Addison Group is partnering with a healthcare revenue cycle organization in Oklahoma offering a remote Medical Collections Specialist role focused on hospital claims. The candidate will manage professional AR, research denials, submit appeals, and pursue timely reimbursements with strong attention to payer guidelines.

Requirements include 2+ years in hospital collections (UB04), recent Epic experience, and the ability to work independently in a remote setting while meeting productivity and

Qualifications

• 2+ years of hospital collections (UB04) experience.
• Recent Epic experience (within the last 3 years).
• Experience with denials, appeals, insurance follow-up, and claim resolution.
• Ability to read and interpret EOBs and payer correspondence.
• Knowledge of commercial insurance, Medicare, Medicaid, Workers' Compensation, and managed care guidelines.

Responsibilities

• Investigate and resolve denied, underpaid, and unpaid professional claims.
• Conduct insurance follow-up with commercial and government payers.
• Prepare and submit appeals with supporting documentation.
• Analyse denial trends and identify opportunities for process improvement.
• Review and interpret EOBs and payer correspondence.
• Ensure timely filing requirements are met for maximum reimbursement.
• Maintain detailed documentation of claim activity, appeals, and account resolutions.
• Work closely with payers to resolve reimbursement issues and claim discrepancies.
• Escalate complex accounts when additional review or intervention is needed.
• Meet established productivity and quality metrics.

Skills

Hospital collections (UB04)

Epic experience

Denials & appeals

Remote work experience

Job description

Addison Group is partnering with a healthcare revenue cycle organization in Oklahoma offering a remote Medical Collections Specialist role focused on hospital claims. The candidate will manage professional AR, research denials, submit appeals, and pursue timely reimbursements with strong attention to payer guidelines.

Requirements include 2+ years in hospital collections (UB04), recent Epic experience, and the ability to work independently in a remote setting while meeting productivity and