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We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support revenue cycle activities for a contract position based in Lehi, Utah. This role focuses on resolving payer issues, following up on outstanding claims, and moving accounts toward payment through persistent and organized outreach. The ideal candidate is comfortable working through insurance delays, interpreting reimbursement details, and managing multiple tasks efficiently throughout the day.
Job Responsibility
Manage follow-up on unpaid or underpaid medical claims by contacting insurance carriers and pursuing timely resolution
Use payer web portals extensively to submit appeals, send reconsideration requests, and review claim status while balancing phone-based follow-up
Investigate denials and payment discrepancies by reviewing account details, remittance information, and supporting documentation
Analyze aging accounts receivable to prioritize collection efforts and escalate claims that require additional action
Interpret explanations of benefits and related billing records to determine next steps for reimbursement recovery
Maintain consistent productivity during extended payer wait times by completing portal activity and other claim resolution tasks
Document account actions, payer responses, and outstanding issues clearly to support accurate tracking and follow-through.
Requirements
Experience in medical billing, claims follow-up, or healthcare collections
Working knowledge of medical accounts receivable processes, including aging categories and reimbursement follow-up
Ability to read and evaluate explanations of benefits and identify denial or underpayment issues
Hands-on experience submitting medical appeals and reconsiderations to insurance payers
Familiarity with hospital billing practices and payer communication workflows
Strong multitasking skills with the ability to stay productive across phone and portal-based activities
Patience, persistence, and professionalism when navigating complex insurance processes and extended hold times.