Collections Representative
Spectraforce
Houston, Texas
2 hours ago
Job Description
Position Title: Collections Representative
Work Location: Houston, TX
Assignment Duration: 6 Months (contract-to-hire)
Hybrid Remote - Must be able to work in Houston, TX office four days a week (Friday WFH) for the first 90 days. After 90 days, a 2nd WFH day can be added. 8 am to 5:00 pm
HM Notes:
Minimum 2 years of experience in working in precertification
Working knowledge of managed care in all areas, most notably: referrals, insurance verification, and precertification.
Knowledge of medical terminology
Familiarity with ICD-9 and ICD-10
Strong analytical skills with the ability to assess and analyze trends to determine the most effective approach to bill
Detail-oriented and strong critical thinking skills for solving problems on your own
Ability to perform multiple tasks simultaneously and problem solve efficiently
Excellent organizational and interpersonal skills
Strong desire to learn and utilize technology effectively
Some experience with Microsoft Office including Teams
Quickly able to enter data accurately and understand the information entered
Flexibility to work overtime occasionally, typically when onboarding new clients
Description:
As a Collections Representative – Value-Based Care (VBC), you’ll play a pivotal role in managing and resolving complex accounts receivable (A/R) within our growing organization. Your focus will be on reconciling, researching, and managing assigned accounts while proactively handling claims inquiries and ensuring strict adherence to company collection policies and procedures. In this position, you’ll work closely with internal teams as well as outside agencies, vendors, and clients to maintain strong A/R performance, meet aging targets, and drive timely payments. This role offers an excellent opportunity to develop your technical expertise, contribute to process improvements, and be part of a talented and supportive team that values accuracy, collaboration, and professional growth.
Roles & Responsibilities
? Complete Value-Based Reimbursement processes accurately and on time, following industry best practices and policies.
? Analyze and resolve assigned claims promptly.
? Communicate with carriers, physician offices, patients, and management to ensure smooth claims resolution.
? Verify and update insurance benefits.
? Process adjustments and post payments accurately.
? Appeal claims when needed.
? Obtain medical records and supporting documents to help secure timely and complete claims payment.
Required Experience / Qualifications
? Minimum of 2 years in medical collections or value-based care accounts, demonstrating a track record of accuracy, problem-solving, and timely resolution.
? Strong analytical ability to review and interpret both patient accounts and payer Explanation of Benefit (EOB) responses, identifying issues and resolving them efficiently.
? Solid understanding of managed care, contract terms, and medical terminology, with the ability to apply this knowledge to complex claims and reimbursement processes.
? Open-minded, eager to learn, adapt, and take on new challenges while contributing to a collaborative team environment.
? Self-motivated and able to take ownership of tasks, prioritize effectively, and drive results.
? Exceptional verbal and written communication skills
? Ability to work with both internal and external customers in a supportive team atmosphere
? Demonstrated proficiency with MS Word, Outlook, and Excel, as well as any EHR.
? Highly organized with the ability to multitask, manage competing priorities, and meet tight deadlines consistently.
? Thrive under pressure in a fast-paced environment while maintaining accuracy, professionalism, and a focus on results.
Preferences – Not Required
? Associate or Bachelor’s degree
? Specialty Care collections experience, especially cardiologic care
? Currently has Certified Professional Coder (CPC) certification
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 15.00/hr.
Work Location: Houston, TX
Assignment Duration: 6 Months (contract-to-hire)
Hybrid Remote - Must be able to work in Houston, TX office four days a week (Friday WFH) for the first 90 days. After 90 days, a 2nd WFH day can be added. 8 am to 5:00 pm
HM Notes:
Minimum 2 years of experience in working in precertification
Working knowledge of managed care in all areas, most notably: referrals, insurance verification, and precertification.
Knowledge of medical terminology
Familiarity with ICD-9 and ICD-10
Strong analytical skills with the ability to assess and analyze trends to determine the most effective approach to bill
Detail-oriented and strong critical thinking skills for solving problems on your own
Ability to perform multiple tasks simultaneously and problem solve efficiently
Excellent organizational and interpersonal skills
Strong desire to learn and utilize technology effectively
Some experience with Microsoft Office including Teams
Quickly able to enter data accurately and understand the information entered
Flexibility to work overtime occasionally, typically when onboarding new clients
Description:
As a Collections Representative – Value-Based Care (VBC), you’ll play a pivotal role in managing and resolving complex accounts receivable (A/R) within our growing organization. Your focus will be on reconciling, researching, and managing assigned accounts while proactively handling claims inquiries and ensuring strict adherence to company collection policies and procedures. In this position, you’ll work closely with internal teams as well as outside agencies, vendors, and clients to maintain strong A/R performance, meet aging targets, and drive timely payments. This role offers an excellent opportunity to develop your technical expertise, contribute to process improvements, and be part of a talented and supportive team that values accuracy, collaboration, and professional growth.
Roles & Responsibilities
? Complete Value-Based Reimbursement processes accurately and on time, following industry best practices and policies.
? Analyze and resolve assigned claims promptly.
? Communicate with carriers, physician offices, patients, and management to ensure smooth claims resolution.
? Verify and update insurance benefits.
? Process adjustments and post payments accurately.
? Appeal claims when needed.
? Obtain medical records and supporting documents to help secure timely and complete claims payment.
Required Experience / Qualifications
? Minimum of 2 years in medical collections or value-based care accounts, demonstrating a track record of accuracy, problem-solving, and timely resolution.
? Strong analytical ability to review and interpret both patient accounts and payer Explanation of Benefit (EOB) responses, identifying issues and resolving them efficiently.
? Solid understanding of managed care, contract terms, and medical terminology, with the ability to apply this knowledge to complex claims and reimbursement processes.
? Open-minded, eager to learn, adapt, and take on new challenges while contributing to a collaborative team environment.
? Self-motivated and able to take ownership of tasks, prioritize effectively, and drive results.
? Exceptional verbal and written communication skills
? Ability to work with both internal and external customers in a supportive team atmosphere
? Demonstrated proficiency with MS Word, Outlook, and Excel, as well as any EHR.
? Highly organized with the ability to multitask, manage competing priorities, and meet tight deadlines consistently.
? Thrive under pressure in a fast-paced environment while maintaining accuracy, professionalism, and a focus on results.
Preferences – Not Required
? Associate or Bachelor’s degree
? Specialty Care collections experience, especially cardiologic care
? Currently has Certified Professional Coder (CPC) certification
Applicant Notices & Disclaimers
- For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 15.00/hr.