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:

• 1-2 years of Medical Collections experience
• Strong knowledge of commercial insurance providers (e.g., BCBS, UHC, Aetna/Cigna) and self-funded providers
• Knowledge of EOB's, HIPAA, ICD-10 codes, and CPT codes
• After conversion, there will be opportunity for a hybrid work model (this will be determined by the client, not Medix)
• Potential for remote after 30-45 days based on performance.

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)

• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)

• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)

• Short Term Disability Insurance

• Term Life Insurance Plan

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.