Insurance Collections Specialist – Physician
Houston, TX
Category: Healthcare
Reference ID: 10083425
Shortcut: http://addisongroup.gosnaphop.com/3fivXy
Job title: Insurance Collections Specialist – Physician
Location: Houston, TX
Industry: Healthcare
Pay: $23.00 – $25.00 / Per hour
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a large healthcare organization seeking an experienced Insurance Collections Specialist to support professional fee collections, denials, and appeals. This opportunity is ideal for someone with strong physician billing experience who enjoys investigating complex accounts, resolving denials, and maximizing insurance reimbursement.
Job Description:
The Insurance Collections Specialist will manage outstanding insurance balances for professional services, working accounts from initial follow-up through resolution. This position requires strong experience with commercial and government payers, denial management, appeals, and insurance collections in a high-volume revenue cycle environment.
Key Responsibilities:
- Manage approximately 55 physician insurance accounts per day.
- Work professional fee (CMS-1500) collections across multiple specialties.
- Research and resolve outstanding insurance balances, denials, and underpayments.
- Perform insurance follow-up with Medicare, Medicaid, and commercial payers.
- Prepare, submit, and follow up on appeals and corrected claims.
- Review account history, payer responses, and reimbursement discrepancies to determine appropriate next steps.
- Work accounts through resolution to maximize reimbursement and reduce aging A/R.
- Identify and track denial trends by payer and communicate recurring issues to leadership.
- Document all account activity, payer communications, and follow-up actions accurately in Epic.
- Collaborate with internal billing, coding, and revenue cycle teams to resolve complex accounts.
Requirements:
- 3+ years of recent specialty physician billing and insurance collections experience required.
- Strong professional fee (CMS-1500) collections experience.
- Experience with insurance follow-up, denials management, appeals, and account resolution.
- Experience working with both commercial and government payers.
- Epic experience strongly preferred.
- Cardiology or neurology specialty billing experience is a strong plus.
- Knowledge of CPT, ICD-10, HCPCS, payer reimbursement guidelines, and appeals processes.
- Experience identifying and tracking denial trends by payer.
- Strong analytical, research, and problem-solving skills.
- Self-motivated, detail-oriented, and focused on resolving accounts rather than simply meeting productivity goals.
- Ability to work independently and manage a high-volume workload.
- High School Diploma or GED required.
Additional Details:
- Contract opportunity with potential for permanent placement.
- Training schedule: Monday–Friday, 7:00 AM–3:30 PM.
- After training, consistent start times available between 6:30 AM–8:00 AM.
- Additional onsite attendance may be required for team meetings and training.
- Business casual environment.
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.
#HC3
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