Traditional Medicare Bill Collector (Hospital Revenue Cycle) 📍 Remote (Texas Residents Only) 📅 Contract-to-Hire (6 Months) ⏰ Schedule: Flexible start time between 6:00 AM – 9:00 AM CST (must remain consistent daily) About the Opportunity We are seeking an experienced Traditional Medicare Bill Collector to join our Revenue Cycle team supporting hospital billing and collections operations. This role is responsible for independently managing Medicare accounts through the entire billing and collections lifecycle, ensuring timely reimbursement and resolution of outstanding balances. The ideal candidate has hands-on experience working Traditional Medicare Fee-for-Service (FFS) accounts within a hospital setting and possesses a strong understanding of Medicare regulations, claims follow-up, denials management, and reimbursement processes.

Key Responsibilities

• Manage Traditional Medicare hospital accounts from billing through final resolution.
• Perform insurance follow-up on inpatient and outpatient Medicare claims to secure timely reimbursement.
• Investigate and resolve denied, rejected, underpaid, and aging Medicare claims.
• Review and interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payment discrepancies.
• Submit corrected claims, appeals, and supporting documentation in accordance with Medicare guidelines.
• Work high-volume accounts receivable inventories while maintaining productivity and quality standards.
• Research claim issues and collaborate with internal departments to resolve billing discrepancies.
• Maintain accurate account documentation within the billing system.
• Ensure compliance with CMS regulations, Medicare billing guidelines, and organizational policies.
• Support month-end reporting activities and assist with special revenue cycle initiatives as needed.

Required Qualifications

• Minimum of 3+ years of experience with Traditional Medicare billing and collections.
• Hospital revenue cycle experience is required.
• Strong knowledge of Traditional Medicare (Fee-for-Service) rules, regulations, and reimbursement methodologies.
• Hands-on experience managing accounts receivable from billing through collections resolution.
• Experience reviewing EOBs, ERAs, and resolving claim denials independently.
• Familiarity with Medicare appeals and underpayment recovery processes.
• Experience using healthcare billing systems; Epic experience preferred.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work independently in a fast-paced, high-volume environment.

Preferred Qualifications

• Experience with Medicare DDE (Direct Data Entry).
• Previous experience with hospital inpatient and outpatient claims.
• Knowledge of Medicare compliance and audit requirements.
• Experience working high-dollar or complex aged AR accounts.
• Certified Revenue Cycle Representative (CRCR) or similar certification preferred.

What We're Looking For

• A true Traditional Medicare specialist, not general medical billing experience.
• Someone who can independently own and resolve complex Medicare accounts.
• Strong attention to detail with a proactive approach to problem-solving.
• A dependable professional who thrives in a remote environment and consistently meets productivity expectations.

If you have a passion for healthcare revenue cycle excellence and a strong background in Traditional Medicare collections, we'd love to hear from you.