Medical Collector

Medical Collector

Addison Group is partnering with a growing healthcare organization seeking experienced Medical Collector to join their physician revenue cycle team. This is an excellent opportunity for candidates with strong professional (CMS-1500) collections experience who are looking for a primarily remote position with long-term growth potential.

The Medical Collector will be responsible for managing physician accounts receivable, resolving denials, submitting appeals, and working claims through full resolution. This position requires a strong understanding of the professional billing revenue cycle, payer guidelines, and insurance follow-up.

Candidates should be comfortable researching complex claim issues, working independently, and communicating directly with insurance carriers to maximize reimbursement.

Key Responsibilities:

• Perform insurance follow-up on outstanding physician (CMS-1500) claims.
• Research and resolve denied, underpaid, and unpaid claims.
• Prepare and submit appeals and corrected claims when appropriate.
• Investigate payer correspondence and determine next steps for claim resolution.
• Utilize payer portals to review claim status and supporting documentation.
• Maintain accurate documentation of all account activity.
• Work claims through full resolution while maintaining productivity and quality standards.
• Analyze denial trends and identify opportunities for process improvement.
• Collaborate with internal teams to resolve billing discrepancies and support clean claim submission.

Requirements:

• 5+ years of physician (Profee/CMS-1500) accounts receivable experience required.
• Strong experience with insurance follow-up, denials management, and appeals.
• Experience working complex and high-dollar claims.
• Experience utilizing payer portals and communicating directly with insurance companies.
• Government payer experience (Medicaid, Medicare, Managed Care) strongly preferred.
• Experience working in multiple billing systems.
• Behavioral Health billing experience is required.
• Experience with Oklahoma Medicaid or CCBHC billing is a plus.

Additional Details:

• Schedule: Monday–Friday, 8:00 AM – 5:00 PM
• Work Model: One week of onsite training, then primarily remote (preference for candidates open to occasional onsite meetings if needed)
• Assignment Type: Contract-to-Hire
• Interview Process: Virtual interviews
• 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.