Medical Collections Representative

Medical Collections Representative Physician Billing (Epic Required, Hybrid)

Location: Houston, TX (Galleria Area)

Industry: Healthcare / Revenue Cycle Management

Pay: $20$23 per hour

Job Type: Contract

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

About Our Client

Addison Group is partnering with a healthcare organization seeking experienced Medical Collections Representatives to support physician billing and value-based reimbursement workflows. This role is ideal for candidates with strong Epic experience and a deep understanding of professional (CMS-1500) claims follow-up.

Job Description

The Medical Collections Representative will manage assigned accounts receivable, focusing on physician (profee) claims, denial resolution, and payer follow-up. This position requires strong knowledge of the full claims lifecycle, the ability to interpret EOBs, and persistence in resolving complex claims with commercial payers.

After training, this role transitions to a hybrid schedule.

Key Responsibilities

• Manage and resolve physician (CMS-1500) claims from submission through payment.
• Work within Epic work queues to track and manage assigned accounts.
• Perform insurance follow-up with major commercial payers (BCBS, UHC, Cigna, Aetna, etc.).
• Analyze and interpret EOBs to determine denial causes and next steps.
• Submit appeals, corrected claims, and supporting documentation as needed.
• Verify insurance benefits and ensure accurate account information.
• Obtain medical records or additional documentation to support claim resolution.
• Maintain clear and detailed documentation of account activity.
• Meet productivity expectations of approximately 40 accounts per day.

Requirements

• 3+ years of physician (profee) medical collections experience required.
• Epic experience required.
• Strong knowledge of the full claims lifecycle from submission to resolution.
• Experience reading and analyzing EOBs and remittance advice.
• Experience with denials, appeals, and payer follow-up required.
• Commercial payer experience strongly preferred.
• Cardiology or specialty billing experience preferred but not required.
• Strong communication, documentation, and problem-solving skills.
• Ability to multitask and work efficiently in a high-volume environment.
• Must be local to Houston and open to the hybrid schedule.

Additional Details

• Schedule: MondayFriday, 8:00am5:00pm (flexible start time after training)
• Work Model: Hybrid (onsite training, then 3 days onsite / 2 days remote)
• Assignment Type: Contract
• Environment: Business office / revenue cycle team
• Start Date: 12 weeks after offer

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.