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Job description
Position: Medical Collections Specialist (Hospital/Insurance Follow-Up)
Location: Remote (Must be based in San Antonio, TX)
Pay Range: $24 - $26 / Hour
Schedule: Monday - Friday, 7:30 AM - 4:00 PM
Benefits: This position is eligible for medical, dental, vision, and 401(k).
Position Overview:
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 . While the role is currently remote, there is 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
Required 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 Qualifications: Inpatient (IP) or hospital collections experience
Experience in LTACH (Long-Term Acute Care Hospital) settings
Systems Used: WellSky
HMS
Payer portals
Work Environment: Remote role (must reside in San Antonio, TX )
Potential for future onsite requirement
Central Business Office (CBO) setting
Collaborative, team-based environment
Additional Details: 2-week training period on systems and processes
No planned time off allowed during the first 90 days (training period)
Candidates should demonstrate job stability and long-term interest
Strong communication skills required, including the ability to clearly explain past experience
What Success Looks Like: Ability to independently research and resolve complex claims
Strong critical thinking and attention to detail
Consistent productivity while maintaining accuracy
Proactive communication and follow-through
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
Worksite address
san antonio, TX, 78208, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.