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We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support revenue cycle activities for a healthcare team in Texas. This Long-term Contract position is ideal for someone who can stay productive during extended payer wait times, confidently work through insurance procedures, and pursue accurate claim resolution. The person in this role will combine strong follow-up skills with hands-on portal work to keep appeals, reconsiderations, and collections activity moving efficiently.
Job Responsibility
Manage outstanding insurance claims and account balances by contacting payers, researching issues, and driving timely resolution of unpaid or underpaid accounts
Use payer portals, including Availity, to submit appeals, upload supporting documentation, and process reconsideration requests while balancing multiple tasks throughout the day
Review explanations of benefits and claim outcomes to identify denials, payment discrepancies, and follow-up actions needed for hospital billing accounts
Maintain productivity during lengthy payer calls by organizing account work, documenting updates clearly, and advancing other claim-related tasks when possible
Navigate complex insurance processes to reach appropriate payer representatives and obtain accurate guidance aligned with federal program requirements
Analyze aging reports and medical accounts receivable activity to prioritize follow-up efforts and improve recovery on outstanding balances
Support denial management by investigating root causes, preparing appeal submissions, and tracking responses through final determination
Record collection activity, payer communication, and account status updates thoroughly to ensure accurate billing records and continuity of follow-up
Requirements
Prior experience in medical billing, medical claims follow-up, or healthcare collections
Working knowledge of medical accounts receivable concepts, including aging buckets and reimbursement follow-up
Ability to interpret explanations of benefits and identify denial reasons, payment variances, and next steps
Experience handling medical denials, appeals, and reconsiderations with commercial or government payers
Familiarity with hospital billing workflows and payer portal tools such as Availity
Strong multitasking skills with the ability to remain organized and productive during extended payer hold times
Clear written and verbal communication skills for payer outreach, documentation, and claim escalation