Job Description

Job Description

Job Description

Job Title: Medical Collections Specialist

Location: Houston, TX (Hybrid after training)

Industry: Healthcare – Revenue Cycle

Pay: $20–$23/hour

About Our Client:

Addison Group is seeking a Medical Collections Specialist to support a value-based care client with a strong reputation in the healthcare technology and revenue cycle space. This is a contract role with high potential for long-term extension or permanent hire . The company is growing quickly and offers a collaborative, metrics-driven culture focused on improving patient care through innovative billing and reimbursement solutions.

Job Description:

This specialist will focus on resolving outstanding claims across major commercial payers such as BCBS, UHC, Aetna, and Cigna. The ideal candidate will have end-to-end experience with claims processing and be skilled at navigating payer denials, following up, and working multiple systems simultaneously. Cardiology experience is highly preferred , but strong candidates from other specialties are welcome.

Key Responsibilities:

• Manage account resolution for professional claims, ensuring all follow-up and appeals are completed thoroughly
• Review and interpret Explanation of Benefits (EOBs) and payer communications
• Submit and track medical records and documentation requests for claims
• Use internal ticketing systems to assist in customer service requests when needed
• Communicate effectively with payers, pushing for clarity and resolution when responses are vague or delayed
• Meet daily productivity target of managing at least 40 patient accounts per day
• Navigate multiple billing platforms and systems efficiently while on long payer hold times
• Apply knowledge of various insurance plans including HMO, PPO, and value-based contracts

Qualifications:

• Minimum 1–2 years of experience in medical collections; 3–5 years preferred
• Previous experience working with commercial payers required
• Strong experience with claims processing (CMS-1500/837P forms)
• Familiarity with cardiology billing is a major plus
• Proficiency in claims management, denials follow-up, and the appeals process
• Tech-savvy with the ability to multitask across systems
• High school diploma required; higher education a plus

Soft Skills:

• Strong written communication for documenting claims activity clearly and professionally
• Confident verbal communicator—able to professionally challenge or clarify vague payer responses
• Self-starter with a proactive mindset and attention to detail
• Comfortable managing time independently, especially during remote work days

Additional Details:

• Schedule: Monday to Friday, 8:00 AM–5:00 PM during training
• Hybrid Work: After training, schedule will be 3 days onsite, 2 days remote (fixed days to be confirmed)
• Training: 4–5 days/week onsite initially, duration depends on individual performance
• Location: Houston, TX 77056
• Dress Code: Business Casual
• Environment: Professional business office setting

Perks:

• Weekly pay via Addison Group
• Potential for long-term hire
• Work with a forward-thinking, tech-driven healthcare organization
• Exposure to value-based care revenue cycle models
• Free onsite parking

Apply today to join a fast-paced team helping improve healthcare outcomes through smarter revenue cycle processes. Addison Group looks forward to connecting you with this exciting opportunity!

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants 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. Reasonable accommodation is available for qualified individuals with disabilities upon request.

IND 004-007

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