Medical Insurance Collector

Surgery Partners, IncMemphis, TN
Onsite

About The Position

We are looking for a Full-time Medical Insurance Collector to join our team at East Memphis Central Business Office. The Insurance Collector is responsible for understanding the full accounts receivable cycle. This person is responsible for managing and recovering outstanding payments from insurance companies, Researching denied claims, sending appeals and reconsiderations. They ensure billing is accurate, follow up on unpaid claims, and resolve discrepancies to secure timely payments. Other duties include data entry, verification of benefits, secondary insurance filings, send monthly statement to patients and following outside collection procedures on delinquent accounts, assisting the business office with other job duties as necessary. All claims are coded with CPT and ICD-10 codes according to the findings in the medical record so the candidate must have a strong working knowledge of coding/billing processes and reading and understanding an explanation of benefits (EOB). This position will also serve as a backup to payment posting department.

Requirements

  • High School graduate or equivalent
  • Two to four years' experience with third party reimbursement, coding and collections
  • Computer experience required for billing, word-processing and spreadsheet entry
  • Ability to read and interpret documents in English such as safety rules, operating and maintenance instructions, and procedure manuals
  • Ability to write routine reports and correspondence
  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
  • Ability to compute rate, ratio, and percent and to draw and interpret bar graphs
  • Must be able to communicate effectively over the phone, in writing and in person
  • Demonstrates the ability to utilize recognized channels of communication
  • Demonstrates the ability to maintain good interpersonal relationships with patients, co-workers, and other health team members
  • Demonstrates reading and understanding an EOB from insurance payers
  • Strong working knowledge of coding/billing processes

Nice To Haves

  • Medical terminology and coding courses

Responsibilities

  • Managing and recovering outstanding payments from insurance companies
  • Researching denied claims
  • Sending appeals and reconsiderations
  • Ensuring billing is accurate
  • Following up on unpaid claims
  • Resolving discrepancies to secure timely payments
  • Data entry
  • Verification of benefits
  • Secondary insurance filings
  • Sending monthly statements to patients
  • Following outside collection procedures on delinquent accounts
  • Assisting the business office with other job duties as necessary
  • Serving as a backup to the payment posting department

Benefits

  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
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