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Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)

$17 - $17.5 per hour

GetixHealth

Insurance Follow-Up & Medical Collections Specialist

Join Our Team as a Medical Collections & Insurance Follow-Up Specialist!

Are you experienced in working accounts on the backend and navigating insurance claims to drive payment? We're looking for someone who can manage both insurance follow-up and medical collections to help resolve accounts efficiently and accurately.

If you're detail-oriented, know how to work claims, and can identify what's holding up payment, this role is for you.

Potential Start Date: 7/20/2026

Location: Onsite- (Sugarland, Texas 77478)

Compensation: $17- $17.50 per hour (based on experience) + quarterly bonus eligibility

Shift: Monday Friday, 9:00 AM 6:00 PM

As a Medical Collections & Insurance Follow-Up Specialist, you'll be responsible for managing delinquent accounts and ensuring timely insurance claim resolution. This role is focused on backend revenue cycle work, combining insurance follow-up and collections activities to support overall account resolution.

You'll work directly with insurance carriers, review claims, and resolve billing issues to secure paymentwhile also working accounts to drive resolution and reduce outstanding balances.

Position Responsibilities:

  • Insurance Follow-Up & Claims Resolution:
    • Follow up with insurance carriers on claim status and payment resolution
    • Review accounts to identify claim issues, denials, or delays
    • Verify insurance eligibility, coverage, and claim filing status
    • Re-bill and submit corrected claims as needed
    • Request and review documentation to support claim processing
    • Identify root causes of claim issues and escalate when appropriate
  • Medical Collections (Backend):
    • Work assigned accounts to resolve outstanding balances
    • Analyze account history and determine appropriate next steps for resolution
    • Ensure timely follow-up and account progression through the revenue cycle
    • Maintain accuracy in account documentation and updates
  • General Responsibilities:
    • Document all account activity accurately in systems
    • Collaborate with internal billing and operations teams
    • Ensure compliance with all Federal, State, and company guidelines
    • Identify trends and recommend process improvements

Qualifications:

  • High School Diploma or GED required
  • 12+ years of experience in insurance follow-up, AR, or medical billing REQUIRED
  • Strong understanding of:
    • Insurance claims and denials
    • EOBs and payment posting
    • Revenue cycle processes
  • Healthcare call center or backend AR experience preferred

Requirements:

  • Strong analytical and problem-solving skills
  • Ability to manage workload and meet productivity goals
  • Experience with billing systems (EPIC a plus)
  • Proficient in Microsoft Office
  • Typing speed: 35 WPM with no more than 3 errors
  • Bilingual (Spanish) a plus

Benefits:

  • Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.
  • Life & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits.
  • 401(k) Retirement Plan: Become eligible to participate in the company's 401(k) plan on the first day of the quarter following three months of continuous employment, with a company match to help you invest in your future.
  • Paid Time Off: Begin accruing PTO on your first day of employment, promoting a healthy work-life balance from the start.
  • Flexible Benefit Options: Tailor your benefits package with a variety of options to meet your individual and family needs.

Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions.

ARStrat is an Equal Opportunity Employer and participates in E-Verify.

GetixHealth
Vacancy posted 1 day ago
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