Medical Collector

Job Title : Medical Collector

Job Location Details : Bellaire

Client Location : Houston, TX

Work Location : Remote

Job Description :

We are seeking a Medical Collector to handle payor inquiries, correct errors, ensure timely claim submission, and follow up on payments. This role involves reviewing EOBs, initiating appeals, and ensuring compliance with billing policies and the No Surprises Act. Strong critical thinking is essential to resolve insurance concerns and meet departmental goals.

Job Duties / Responsibiltes

• Investigates, and responds to inquiries from payors
• Research errors and make necessary corrections for clean claim production and submission
• Follow up on accounts to ensure timely filing and prompt payment
• Actively review billing / collection policy changes for assigned payers
• Follow up on payment errors, review posting, and calculate allowable amount before approving patient statements
• Review Insurance EOB and initiate appeals as necessary
• Resolves all insurance requests, inquiries, concerns, in an expedient and respectful manner
• Work accounts to ensure payment meets the qualified payment amount required by the No Surprises Act
• Must be able to think outside of the box, critical decision making is necessary to fulfill the positions expectations
• Meet and exceed departmental goals set by the company and department manager

Requirements :

Benefits :

For California Applicants :

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.