Remote Medical Collections Specialist | Insurance Follow-Up

The Addison Group; San Antonio (TX); Remote; USD 33,000 - 36,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k)

Job summary

Addison Group is seeking a Medical Collections Specialist to support insurance follow-up and full-cycle claims resolution. The role is remote but must be based in San Antonio, TX, with potential for onsite in the future.

You will manage claims from start to finish, including research, appeals, rebills, and communication with payers. Ideal candidates have 2+ years in medical collections, experience with UB-04, and strong problem-solving skills.

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.

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.

Skills

Medical Collections

Insurance follow-up

UB-04

Denial resolution

Excel basics

Tools

WellSky

HMS

Payer portals

Job description

Addison Group is seeking a Medical Collections Specialist to support insurance follow-up and full-cycle claims resolution. The role is remote but must be based in San Antonio, TX, with potential for onsite in the future.

You will manage claims from start to finish, including research, appeals, rebills, and communication with payers. Ideal candidates have 2+ years in medical collections, experience with UB-04, and strong problem-solving skills.