Insurance Follow-Up Representative – Medicare Managed Care
Houston, TX
Category: Healthcare
Reference ID: 10075819
Shortcut: http://addisongroup.gosnaphop.com/5qTNk3
Job Title: Insurance Follow-Up Representative – Medicare Managed Care
Location: Houston, TX (West Houston)
Industry: Healthcare
Pay: $21–$23 per hour
Job Type: Contract-to-Hire
Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.
About Our Client:
Addison Group is partnering with a healthcare organization seeking an experienced Insurance Follow-Up Representative to support physician billing and collections. This role focuses on resolving Medicare Managed Care claims and is ideal for candidates with strong payer follow-up and denial resolution experience.
Job Description:
The Insurance Follow-Up / Denials Representative will manage assigned accounts within a revenue cycle team, working to resolve denials, rejections, and outstanding claims. This position requires strong knowledge of professional billing workflows, payer guidelines, and the ability to work efficiently within a high-volume environment.
After an initial onsite training period, this role transitions to a hybrid schedule.
Key Responsibilities:
- Follow up on physician claims and resolve denials, rejections, and unpaid balances.
- Work within EMR work queues to manage assigned accounts.
- Communicate with Medicare Managed Care payers to obtain claim status and resolve issues.
- Submit corrected claims, reconsiderations, and appeals as needed.
- Analyze EOBs and payer responses to determine appropriate next steps.
- Identify and resolve billing and registration-related denials.
- Maintain detailed and accurate documentation of all account activity.
- Work accounts through full resolution from initial denial to payment.
- Meet productivity and quality benchmarks.
Requirements:
- Recent physician insurance follow-up experience required (CMS-1500 claims).
- Strong experience with denials, appeals, corrected claims, and rejections required.
- Experience with Medicare Managed Care (MCO) payers required (STAR, STAR+, CHIP, etc.) required.
- Familiarity with major payers such as Molina, UHC, Aetna, and similar plans preferred.
- Recent experience with Epic required.
- Strong understanding of payer guidelines and claim resolution processes.
- Ability to work independently and manage high-volume workloads.
- Strong communication and documentation skills.
Additional Details:
- Schedule: Monday–Friday, 8-hour shift (start as early as 7:00 AM)
- Work Model: Hybrid (remote most days with periodic onsite requirements after training)
- Training: Approximately 1–4 weeks onsite
- Assignment Type: Contract-to-Hire
- Environment: Business office revenue cycle team
- Start Date: ASAP
Perks:
- Hybrid work flexibility after onboarding
- Opportunity to gain experience in a large healthcare system environment
- Strong team support and structured workflows
- Career growth potential within revenue cycle operations
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
#HC3
-
Medical Collections Specialist - Physician Claims
Tampa Metro Area, Florida
Job Title: Medical Collections Specialist - Physician Claims Location: Tampa, Florida Industry: Healthcare RCM Pay: $20.00 - $25.00 / Per Hour (Based on years of experience) Job Type: Contract-to-Hire Benefits: This position is eligible for medical, de...
Recommended
-
Medical Collections Specialist - Facility
Oklahoma City Metro Area, Oklahoma
Job Title: Medical Collections Specialist - Facility Location: Oklahoma City, Oklahoma Industry: Healthcare RCM Pay: $20 - $25 / hour (Based on years of experience) Job Type: Contract-to-Hire Benefits: This position is eligible for medical, dental, vis...
Recommended
-
Insurance AR Follow-Up Specialist
Phoenix, AZ
Job Title: Insurance AR Follow-Up Specialist (Contract-to-Hire) Location: Phoenix, AZ 85016 Industry: Healthcare / Revenue Cycle Schedule: Monday to Friday - 8:00am to 5:00pm Pay: $18.50 – $25.00/hour Benefits: Medical, dental, and vision coverage, 401...
Recommended
-
Practice Performance Manager (Provider Educator)
Houston, TX
Job Title: HCC Practice Performance Manager (Provider Educator) Location (city, state): Wichita, KS Industry: Healthcare / Value-Based Care Pay: $80,000 - $95,000 annually Benefits: This position may be eligible for health, dental, vision, insurance, a...
Recommended
-
Medical Billing Specialist
Mendota Heights, MN
Job Title: Medical Biller Location: St. Paul, MN, must be able to work on-site Industry: Healthcare Pay Rate: $23.00 - $29.00 / Hourly Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: We are currently hiring...
Recommended
-
Medical Collector
San Antonio, TX
Position: Medical Collections Specialist (Hospital/Insurance Follow-Up) Location: Remote (Must be based in San Antonio, TX) Pay Range: $24 – $26 / Hour Schedule: Monday – Friday, 7:30 AM – 4:00 PM Benefits: This position is eligible for medical, dental...
Recommended
-
Insurance Follow-Up Representative
Oak Brook, IL
Job Title: Insurance Follow-Up Representative Location: West Chester, IL (Fully Onsite Required) Compensation: $22 – $27 per hour depending on experience Industry: Healthcare Employment Type: Contract-to-Hire Work Schedule: Monday–Friday, 40 hours per ...
Recommended
-
Revenue Cycle Specialists
Tampa, FL
Title: Revenue Cycle Specialists Industry: Healthcare Location: Tampa, FL Pay: $20-$24/ hour Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits. About our client: Addison Group is partnering with a growing healthcare o...
Recommended
-
Refunds Specialist
Charlotte, NC
Title: Refunds Specialist Location: Charlotte, NC Compensation: $21.00 – $28.00 per hour Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits. About the Opportunity: Addison Group is seeking a Refunds Specialist on behal...
Recommended
-
Medical Collector
Plano, TX
Position: 1 LTACH Commercial Collector 1 Outpatient Collector Location: Remote (Candidates must reside in San Antonio, TX) Openings: 2 Pay Rate: $24–$26/hour Hours: Flexible start between 7–9 AM, 8-hour workday Position Summary: These roles support ful...
Recommended
-
Accounts Receivable (AR) Specialist
Houston, TX
Job Title: Accounts Receivable (AR) Specialist Location: Houston, TX Compensation: $30.00 – $31.00 / hour Benefits: This position may be eligible for medical, dental, vision, and 401(k). Job Summary We are seeking a detail-oriented Accounts Receivable ...
Recommended
-
Medical Billing Specialist
Saint Louis, MO
Title: Medical Billing Specialist Location: Richmond Heights, MO Compensation: $22 – $25 per hour (Depending on Experience) Employment Type: Contract Work Schedule: Monday – Friday, 8:00 AM – 4:30 PM Benefits: This position is eligible for medical, den...
Recommended
-
Payment Poster
Braintree, MA
Job Title: Payment Poster Job Type: Contract-to-Hire (CTH) Location: Braintree, MA (On-site) Compensation: $22 – $25 / Hour (based on experience) Benefits: This position is eligible for medical, dental, vision, and 401(k). Overview: Addison Group is se...
Recommended
-
Insurance Verification Specialist
Phoenix, AZ
Job Title: Insurance Verification Specialist (Contract-to-Hire) Location (city, state): Phoenix, AZ 85016 Industry: Healthcare / Revenue Cycle Pay: $19.00 – $21.00 / hour Benefits: Medical, dental, and vision coverage, 401(k), paid holidays and plus PT...
Recommended
-
Accounts Receivable Specialist
Charlotte, NC
Title: Accounts Receivable Specialist Location: Charlotte, NC Compensation: $19.00 – $25.50 per hour Benefits: This position is eligible for medical, dental, vision, and 401(k) through Addison Group during the contract period. About the Opportunity Add...
Recommended
-
Senior Workday Analyst
Houston, TX
Role: Senior Workday Analyst Location: Houston (Fully Onsite) Pay Range: $110,000 - $130,000 / year Benefits: This role is eligible for Health, Medical, Vision, Dental, 401k match, 3% profit sharing and yearly bonus. Overview We are seeking a highly ex...
Recommended
-
AP Clerk
Houston, TX
Job Title: Accounts Payable (AP) Specialist Location: Katy, TX Compensation: $26.00 – $27.00 / hour Benefits: This position may be eligible for medical, dental, vision, and 401(k). Job Summary We are seeking an experienced Accounts Payable Specialist t...
Recommended
-
Accounts Payable (AP) Manager
Houston Metro Area, Texas
Job Title: Accounts Payable (AP) Manager Location: Northeast Houston, TX Compensation: $110,000 – $115,000 / year Benefits: This position may be eligible for medical, dental, vision, and 401(k). Job Summary We are seeking an experienced and hands-on Ac...
Recommended
-
MEP Project Manager
Houston Metro Area, Texas
Location: Houston, Texas Schedule: Onsite Monday–Friday with regional travel to customer sites Compensation: $100,000-$120,000 Role Overview The MEP Project Manager is responsible for driving and managing project-based sales opportunities across mechan...
Recommended
-
Payroll Accountant
Houston, TX
Job Title: Payroll Accountant Location: Houston, TX Compensation: $49.00 – $50.00 / hour Benefits: This position may be eligible for medical, dental, vision, and 401(k). Job Summary We are seeking an experienced Payroll Accountant to join our finance t...
Recommended
-
Direct Hire Recruiter
Houston, TX
Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffing, as well as consulting services. We have made “Best of Staffing” lists for multiple years and continue to enjoy many acc...
Recommended
-
Sr. Developer - Progress
Houston, TX
Location Houston - on-site 5 days a week Title Sr. Progress Developer Salary up to $150,000. Benefits - Medical, Dental, 401k match, Life Insurance Our client is seeking an experienced Senior Progress OpenEdge Developer to join their team. Be responsib...
Recommended
-
HR Manager
Houston Metro Area, Texas
Position Title: HR Manager Location: Webster, TX Assignment Type: 3-month contract with potential for contract-to-hire Compensation: $31 - $36 / Hour Work Schedule: Monday–Friday, 8-5 PM Benefits: This position is eligible for medical, dental, vision, ...
Recommended
-
Construction Project Manager
Houston Metro Area, Texas
Construction Project Manager – Industrial / Commercial Compensation & Benefits: Base salary: $130,000–$160,000 Bonus eligible Mileage reimbursement and truck allowance Full health, dental, vision, and life insurance Houston, TX | Mileage Reimbursement ...
Recommended
-
BAS Service Technician
Houston Metro Area, Texas
Title: BAS Service Technician (Building Automation Systems) Location: Houston, TX Salary: $85k - $95k No sponsorship available Benefits: Medical, Dental, Vision, L/S Term Disability, Life Insurance, 401K, and paid vacation and holidays. Ongoing trainin...
Recommended
-
Manager of Software Development
Houston, TX
We are partnering with a client seeking a hands-on leader to oversee and elevate their software development organization. This role is ideal for someone who thrives in a people-first leadership position while still maintaining enough technical depth to...
Recommended
-
Project Controls Assistant
Houston Metro Area, Texas
Salary Range: $65,000-$85,000 Key Qualifications: High School diploma required; Associate’s or Bachelor’s degree in Construction Management or related field preferred 1+ years of experience in project or construction administration Knowledge of constru...
Recommended
-
Field Service Engineer
Houston, TX
Position: Field Service Engineer – Marine Diesel Engines Location: Houston, TX Compensation: $40.00 - $50.00 / Hourly Benefits: medical, dental, vision, PTO Must be authorized to work in the United States. Position is not eligible for sponsorship. A le...
Recommended
-
Revenue Integrity Analyst - Must be local to San Antonio
San Antonio Metro Area, Texas
Job Title: Revenue Integrity Analyst Location (city, state): Remote - must be based in San Antonio Industry: Healthcare Revenue Cycle / Audit & Compliance Pay: $25–$27 per hour (contract‑to‑hire) Benefits: This position is eligible for medical, dental,...
Recommended
-
HSCPC RN Case Manager
Washington; DC, DC
Job Title: HSCPC RN Case Manager Location: Washington DC Compensation: $80,000 - $115,000 / Annually / Based on years of experience Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client: Our client is a large, mi...
Recommended