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1 result for Call Center Representative Remote in Miami, FL
- Miami, FL
- remote
- Temporary / Contract
- 19.00 - 21.00 USD / Hourly
- <p>We are looking for a detail-oriented Medical Collections Representative to support hospital claim denial recovery efforts for a healthcare-focused team. This Long-term Contract opportunity is based in Minneapolis, Minnesota, and will focus on resolving denied, short-paid, and unpaid claims across a wide range of payer types. The person in this role will help reduce aging inventory by investigating claim issues, applying payer and contract knowledge, and driving timely follow-up on outstanding balances.</p><p><br></p><p>Responsibilities:</p><p>• Pursue payment resolution for hospital accounts with denied, underpaid, or outstanding claims across multiple insurance payers.</p><p>• Review claim status and supporting documentation to identify the cause of non-payment and determine appropriate next steps.</p><p>• Conduct follow-up with payers to appeal denials, correct billing issues, and secure reimbursement on eligible accounts.</p><p>• Apply healthcare collection regulations and compliance standards when managing account activity and recovery efforts.</p><p>• Interpret payer agreements and reimbursement terms to verify expected payment amounts and identify discrepancies.</p><p>• Document account actions thoroughly in relevant systems and maintain accurate records of communication, outcomes, and follow-up plans.</p><p>• Prioritize assigned inventory effectively to address backlog volumes and meet productivity expectations.</p><p>• Collaborate with team members and internal stakeholders to escalate complex accounts and support overall denial recovery goals.</p>
- 2026-10-12T20:48:44Z