Medical Collections Specialist - Facility

Medical Collections Specialist - Facility

Location: Oklahoma City, Oklahoma

Industry: Healthcare RCM

Pay: $20 - $25 / hour (Based on years of experience)

Job Type: Contract-to-Hire

Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.

About Our Client:

Addison Group is partnering with a healthcare revenue cycle organization that specializes in hospital accounts receivable recovery, denial management, and complex claims resolution. This is an excellent opportunity for experienced hospital collectors looking to join a growing team with strong leadership support and long-term career growth potential.

Job Description:

The Medical Collector is responsible for managing hospital accounts receivable, researching denied claims, submitting appeals, and ensuring timely reimbursement from insurance payers. This role requires strong hospital billing knowledge, experience working denials through resolution, and the ability to meet productivity and quality expectations in a fully remote environment.

Key Responsibilities:

• Investigate and resolve denied, underpaid, and unpaid hospital claims.
• Perform insurance follow-up and account resolution activities.
• Prepare and submit appeals with supporting documentation and detailed justification.
• Analyze denial trends and identify opportunities for process improvement.
• Ensure timely filing requirements are met to maximize reimbursement.
• Document account activity, appeals, and claim resolutions accurately within client systems.
• Communicate with commercial payers, government payers, and other insurance entities regarding claim status and payment issues.
• Escalate complex accounts when additional review is needed.
• Meet established productivity and quality metrics while maintaining account accuracy.

Requirements:

• 2+ years of recent healthcare accounts receivable or insurance collections experience required.
• Hospital collections (HB/UB-04) experience required.
• Recent Epic experience required (within the last 3 years).
• Recent experience with denials, appeals, insurance follow-up, and claim resolution required.
• Ability to read and interpret EOBs and payer correspondence.
• Knowledge of commercial insurance, Medicare, Medicaid, Workers' Compensation, and managed care guidelines required.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently.

Additional Details:

• Schedule: Flexible schedule between 9:00 AM – 5:30 PM
• Assignment Type: Contract-to-Hire

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.