Medical Insurance Collector (Greater Houston Residents)

About the position The Medical Insurance Collector at Nutex Health is responsible for managing out-of-network collection activities related to complex denials and outstanding balances with various payors. This role requires in-depth knowledge of collection processes and medical insurance providers, as well as strong problem-solving and organizational skills. The position is full-time and offers the potential for remote work after an initial training period. Responsibilities • Perform out-of-network collection activities on complex denials. , • Prepare appeals and necessary actions on outstanding balances with major payors. , • Respond to correspondence from insurance carriers. , • Research, appeal, and resolve unpaid insurance claims. , • Work assigned claim volume timely and efficiently within corporate timeframes. , • Follow up on payment errors and review postings before approving patient statements. , • Initiate collection follow-up on unpaid or denied claims with appropriate insurance carriers. , • Ensure payment meets the qualified payment amount required by the No Surprises Act. , • Follow all processes and procedures set by department leadership. , • Meet performance goals for efficiency, accuracy, quality, member satisfaction, and attendance. , • Stay informed of changes in procedures, billing guidelines, and laws for assigned insurance carriers. Requirements • Minimum of three (3) years' experience in Out of Network Facility and Physician Hospital Claims. , • Experience administering appeals in a high-volume claim environment. , • Strong knowledge of insurance plan providers such as BCBS, UHC, Aetna/Cigna, and self-funded/commercial providers. , • Experience reading, analyzing, and interpreting medical Explanation of Benefits. , • Familiarity with computer and Windows PC applications such as Excel and Word. Nice-to-haves • Working knowledge of NSA (No Surprises Act). , • Ability to type 45-60 WPM. Benefits • $0 Premium Benefits- Medical, Dental, Vision , • 401K , • STD / LTD , • $50K Basic Life Insurance , • Supplemental Policies , • Employee Stock Purchase Program , • Employee Assistance Program Apply Job!