Senior Medical Collections Representative

Sr. Medical Collections Representative (Hybrid)

Location: Hybrid Schedule (Mostly Remote with 1-2 Days On-Site Weekly)

Employment Type: Full-Time

Are you an experienced medical collections professional who thrives on solving complex billing challenges and driving account resolution? We are seeking a Sr. Medical Collections Representative to join a growing healthcare revenue cycle team supporting a major accounts clean-up initiative. This is an excellent opportunity for someone with strong denial management, insurance follow-up, and Epic experience who enjoys making a direct impact on revenue recovery and patient account resolution.

What You'll Do

As a Sr. Medical Collections Representative, you will play a critical role in ensuring timely reimbursement by reviewing unpaid, underpaid, and denied claims while collaborating with internal departments and insurance payers to resolve outstanding accounts.

Key Responsibilities:

• Investigate and resolve denied, unpaid, and underpaid insurance claims.
• Work assigned No Pay/No Response and denial work queues to drive account resolution.
• Submit claims accurately and timely in accordance with payer guidelines.
• Utilize payer portals, remittance advice, and direct payer communication to research and resolve claim issues.
• Analyze denials, identify root causes, and determine appropriate corrective actions.
• File appeals and obtain supporting documentation to secure reimbursement.
• Review CPT, ICD-10, HCPCS codes, coordination of benefits, registration issues, and payer contracts to identify and resolve discrepancies.
• Collaborate with departments including Coding, Medical Records, Case Management, Billing, and Clinical Teams to address claim concerns.
• Perform account adjustments and ensure balances are maintained accurately.
• Identify payment and denial trends and communicate findings to leadership.
• Maintain detailed documentation within the patient accounting system.
• Communicate with guarantors and families when additional information or action is required for claim resolution.
• Meet established production and quality standards while balancing daily workloads and special projects.

What We're Looking For

Certified Medical Coder (Required)

Minimum 3 years of experience in medical billing, collections, payment posting, revenue cycle operations, or related healthcare financial roles

Proven experience working with Epic in a billing, collections, or revenue cycle environment

Strong understanding of:

• Insurance follow-up and denial management
• Hospital and physician billing practices
• Third-party reimbursement processes
• HIPAA regulations and patient privacy standards
• CPT, ICD-10, and HCPCS coding
• Coordination of Benefits (COB)
• Payer contract interpretation

Excellent analytical, problem-solving, and critical thinking abilities

Strong communication and documentation skills

Ability to work independently while managing multiple priorities in a fast-paced environment

Preferred Qualifications

• Experience with hospital, professional, or home care claims
• Experience in large-scale revenue cycle clean-up or remediation projects
• Familiarity with payer portals and denial resolution workflows
• Experience identifying trends and recommending process improvements
• Ability to work effectively with cross-functional healthcare teams

Why Join Us?

• Hybrid work schedule with significant remote flexibility
• Opportunity to contribute to a high-impact revenue cycle initiative
• Collaborative healthcare environment
• Exposure to advanced revenue cycle technologies and Epic systems
• Growing organization focused on innovation and continuous improvement
• Opportunity to make a measurable impact on reimbursement performance and operational success

Interested?

If you're a detail-oriented medical collections professional with strong denial management experience and a passion for revenue cycle excellence, we'd love to hear from you!

📧 Apply or send your resume today for immediate consideration.

Job Type & Location

This is a Contract position based out of Philadelphia, PA.

Pay and Benefits

The pay range for this position is $25.00 - $29.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract position based out of Philadelphia, PA.

Application Deadline

This position is anticipated to close on Oct 26, 2026.

Workplace Type

This is a hybrid position in Philadelphia,PA.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.