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!