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.
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? Prepare appeals and necessary actions on outstanding balances with major payors.
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? Respond to correspondence from insurance carriers.
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? Research, appeal, and resolve unpaid insurance claims.
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? Work assigned claim volume timely and efficiently within corporate timeframes.
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? Follow up on payment errors and review postings before approving patient statements.
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? Initiate collection follow-up on unpaid or denied claims with appropriate insurance carriers.
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? Ensure payment meets the qualified payment amount required by the No Surprises Act.
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? Follow all processes and procedures set by department leadership.
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? Meet performance goals for efficiency, accuracy, quality, member satisfaction, and attendance.
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? 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.
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? Experience administering appeals in a high-volume claim environment.
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? Strong knowledge of insurance plan providers such as BCBS, UHC, Aetna/Cigna, and self-funded/commercial providers.
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? Experience reading, analyzing, and interpreting medical Explanation of Benefits.
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? Familiarity with computer and Windows PC applications such as Excel and Word.

Nice-to-haves
? Working knowledge of NSA (No Surprises Act).
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? Ability to type 45-60 WPM.

Benefits
? $0 Premium Benefits- Medical, Dental, Vision
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? 401K
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? STD / LTD
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? $50K Basic Life Insurance
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? Supplemental Policies
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? Employee Stock Purchase Program
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? Employee Assistance Program

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