Medical Collector

Medical Collector (Profee)

Addison Group is partnering with a healthcare organization seeking a Medical Collector to support physician billing collections. This role is ideal for an experienced collector who can step in quickly, work high-volume accounts, and resolve claims efficiently in a fast-paced revenue cycle environment.

The Medical Collector will be responsible for insurance follow-up, denial resolution, and appeals for physician (profee) claims. This role requires strong analytical skills, payer communication experience, and the ability to manage a backlog of accounts while maintaining accuracy and productivity.

This is a contract role expected to last several months, with the potential for extension.

Key Responsibilities:

• Perform insurance follow-up on outstanding physician (CMS-1500) claims.
• Resolve denials, rejections, and underpayments through payer communication.
• Submit and manage appeals (both verbal and written).
• Analyze EOBs and remittance advice to determine next steps for claim resolution.
• Work assigned accounts through full resolution.
• Manage correspondence with insurance payers and internal teams.
• Maintain accurate and detailed account documentation.
• Meet productivity expectations of approximately 35 accounts per day.

Requirements:

• 2+ years of physician (profee) medical collections experience required.
• Must have strong experience handling appeals and denials.
• Experience working directly with insurance payers (phone and written communication).
• Strong ability to read and analyze EOBs.
• Experience with PPO, HMO, Medicare, and Medi-Cal preferred.
• Experience with Cerner, Soarian, or similar EMR systems required.
• OB or maternity billing experience is a plus but not required.
• Strong attention to detail and organizational skills.
• Reliable and team-oriented with the ability to work independently.

Additional Details:

• Schedule: MondayFriday, 8:00 AM 4:30 PM (flexibility available after onboarding)
• Work Model: Fully onsite
• Environment: Business office revenue cycle team
• Start Date: ASAP

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.