Healthcare Collections Specialist

5 days ago

Plano, Texas, United States Addison Group Full time
Job Description

Job Title: LTACH Collector (Contract-to-Hire)

Location: On-site, Plano, TX

Industry: Healthcare/Hospital Collections

Pay: $22 - $26 per hour

About Our Client:

We are partnering with a healthcare organization in need of an LTACH Collector to handle insurance follow-up, denied claims, and reimbursement analysis for inpatient hospital accounts. The role requires strong experience with UB-04 forms, managed Medicaid, and commercial payors.

Key Responsibilities:

  • Follow up on inpatient hospital claims with insurance companies, focusing on UB-04 forms.
  • Work on appeals using templates, research denied claims, and handle edits/re-bills.
  • Analyze claims quickly to determine issues and solutions, sometimes requiring contract review and basic math.
  • Work with a volume of 18 claims per day, ensuring reimbursement accuracy and timely resolutions.
  • Handle collections, rebilling, correspondence, and problem-solving for account billing errors.
  • Review Explanation of Benefits (EOBs), submit re-bills, tracers, and appeals, and make necessary adjustments using appropriate reason codes.
  • Verify billing information for both electronic and manual claims submission.
  • Ensure follow-up on all claims not processed within the usual claim period.

Qualifications:

  • 2+ years of experience in hospital collections, with a focus on inpatient claims and UB-04 forms.
  • Knowledgeable in denial trends, particularly with commercial and managed Medicaid payors.
  • Strong computer skills, including Excel.
  • Experience with Wellsky and HMS systems is preferred.
  • Must have experience with reimbursement processes and understanding of contract terms.

Soft Skills:

  • Strong attention to detail and the ability to analyze claims quickly.
  • Long-term commitment and looking for stability in a company.
  • Fast learner, adaptable, and able to work in a fast-paced environment.
  • Ability to explain billing and collections experience clearly during interviews.

Equal Opportunity Employer:

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 nondiscrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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