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Job Description
We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support revenue cycle activities for a contract position based in Lehi, Utah. This role focuses on resolving payer issues, following up on outstanding claims, and moving accounts toward payment through persistent and organized outreach. The ideal candidate is comfortable working through insurance delays, interpreting reimbursement details, and managing multiple tasks efficiently throughout the day.
Responsibilities:
Manage follow-up on unpaid or underpaid medical claims by contacting insurance carriers and pursuing timely resolution.
Use payer web portals extensively to submit appeals, send reconsideration requests, and review claim status while balancing phone-based follow-up.
Investigate denials and payment discrepancies by reviewing account details, remittance information, and supporting documentation.
Analyze aging accounts receivable to prioritize collection efforts and escalate claims that require additional action.
Interpret explanations of benefits and related billing records to determine next steps for reimbursement recovery.
Maintain consistent productivity during extended payer wait times by completing portal activity and other claim resolution tasks.
Document account actions, payer responses, and outstanding issues clearly to support accurate tracking and follow-through.