Medical Collector - Medicare

TEKsystems
$22.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Nevada, Las Vegas
May 30, 2025
Professional Summary The Insurance Claims Collection Specialist plays a crucial role in reviewing and resolving unpaid or underpaid insurance claims, with a focus on Medicare and Medicaid accounts. This fast-paced, production-based role requires an analytical mindset, strong attention to detail, and a proactive approach to claim adjustments. Specialists must be adept at navigating payer systems, communicating with Medicare Administrative Contractors (MACs), and ensuring that outstanding revenue is accurately collected through systematic follow-up and resolution strategies. Key Responsibilities * Conduct root cause analysis of denied or underpaid claims, identifying issues and implementing corrective actions. * Research, follow up, and resolve outstanding Medicare system debit balances through various means, including remit and EOB reviews, rebilling claims, and payer portal navigation. * Contact insurance payers, including MACs, to reconcile accounts, initiate collections, and request adjustments. * Apply critical thinking and problem-solving skills to ensure accurate claims processing and resolution. * Maintain precise documentation of claim actions, communications, and resolutions using clear and effective written communication. * Stay informed of healthcare reimbursement policies, regulatory updates, and payer-specific guidelines. * Establish and sustain positive working relationships with clinical personnel, payer representatives, and internal teams. * Work efficiently in a fast-paced environment, meeting deadlines and ensuring timely claim resolutions while maintaining professionalism. * Ensure compliance with HIPAA regulations and company policies, maintaining strict confidentiality of patient and company information. * Demonstrate consistent attendance and reliability, contributing to team success and productivity. Qualifications * Minimum of 6 months of insurance collections experience, with proven ability to communicate directly with insurance companies and utilize provider portals for claims resolution. * Strong preference for Medicare or Medicaid collections experience. * High school diploma or equivalent (GED). * Proficiency in Microsoft Office tools including Outlook, Word, PowerPoint, Excel, and OneNote. * Exceptional written and verbal communication skills. * Competency in computer operations, including typing, basic troubleshooting, and system navigation. * Ability to critically analyze and resolve root causes of claim underpayments through problem-solving techniques. Pay and Benefits The pay range for this position is $22.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jun 5, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.