Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)

GetixHealthHouston, TX
$17 - $18Onsite

About The Position

Are you experienced in working accounts on the backend and navigating insurance claims to drive payment? We’re looking for someone who can manage both insurance follow-up and medical collections to help resolve accounts efficiently and accurately. If you’re detail-oriented, know how to work claims, and can identify what’s holding up payment, this role is for you. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- As a Medical Collections & Insurance Follow-Up Specialist, you’ll be responsible for managing delinquent accounts and ensuring timely insurance claim resolution. This role is focused on backend revenue cycle work, combining insurance follow-up and collections activities to support overall account resolution. You’ll work directly with insurance carriers, review claims, and resolve billing issues to secure payment—while also working accounts to drive resolution and reduce outstanding balances.

Requirements

  • High School Diploma or GED required
  • 1–2+ years of experience in insurance follow-up, AR, or medical billing REQUIRED
  • Strong understanding of: Insurance claims and denials EOBs and payment posting Revenue cycle processes
  • Strong analytical and problem-solving skills
  • Ability to manage workload and meet productivity goals
  • Experience with billing systems (EPIC a plus)
  • Proficient in Microsoft Office
  • Typing speed: 35 WPM with no more than 3 errors

Nice To Haves

  • Healthcare call center or backend AR experience preferred
  • Bilingual (Spanish) a plus

Responsibilities

  • Follow up with insurance carriers on claim status and payment resolution
  • Review accounts to identify claim issues, denials, or delays
  • Verify insurance eligibility, coverage, and claim filing status
  • Re-bill and submit corrected claims as needed
  • Request and review documentation to support claim processing
  • Identify root causes of claim issues and escalate when appropriate
  • Work assigned accounts to resolve outstanding balances
  • Analyze account history and determine appropriate next steps for resolution
  • Ensure timely follow-up and account progression through the revenue cycle
  • Maintain accuracy in account documentation and updates
  • Document all account activity accurately in systems
  • Collaborate with internal billing and operations teams
  • Ensure compliance with all Federal, State, and company guidelines
  • Identify trends and recommend process improvements

Benefits

  • Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
  • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
  • 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service.
  • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
  • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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