Medical Collections Specialist (Outpatient)

Job Title: Medical Collections Specialist (Outpatient)

Industry: Healthcare

Location (city, state): San Antonio, TX (Remote – must be local)

Compensation: $21.00 – $24.00 / Hourly

Benefits: This position is eligible for medical, dental, vision, and 401(k).

Work Schedule: Monday – Friday, 7:30 AM – 4:00 PM

About Our Client:

Addison Group is partnering with our client, a healthcare organization focused on revenue cycle operations and claims resolution. This team plays a critical role in ensuring accurate reimbursement by managing claims from submission through final resolution. They offer a structured environment with strong training and long-term career stability.

Job Description:

Our client is seeking a Medical Collections Specialist to manage the full lifecycle of insurance claims, from initial billing through resolution. This role requires strong analytical thinking, attention to detail, and the ability to independently research and resolve claim discrepancies. Candidates should be comfortable working in a high-volume environment and handling complex insurance follow-up.

Qualifications:

• 2+ years of medical collections or insurance follow-up experience
• Experience working with UB-04 forms and hospital billing
• Strong understanding of reimbursement methodologies
• Familiarity with denied claims, appeals, and re-billing processes
• Proficiency in Microsoft Office, including basic Excel skills
• Experience using systems such as WellSky, HMS, or similar platforms preferred
• Ability to work independently and manage a daily workload efficiently
• Stable work history with clear, explainable experience

Key Responsibilities:

• Manage and resolve insurance claims from submission through final payment
• Review aging reports and follow up on outstanding balances with payers
• Investigate and resolve denied or underpaid claims through research and analysis
• Submit corrected claims, appeals, and necessary documentation to support reimbursement
• Communicate with insurance companies, patients, and internal departments to resolve issues
• Review remittance advice to ensure accurate payment and make adjustments when needed
• Identify billing discrepancies and take corrective action to ensure proper reimbursement
• Maintain productivity expectations of approximately 18–20 claims per day

Perks:

• Remote opportunity for candidates local to San Antonio (potential for future onsite work)
• Structured training program (2 weeks) to ensure success in the role
• Opportunity for long-term employment and career growth
• Collaborative team environment with leadership support
• Exposure to multiple areas of revenue cycle operations

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.

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