Hospital Medical Collections Specialist Job at Robert Half (North Hollywood)

Hospital Medical Collections Specialist

A Hospital in the San Fernando Valley are looking for an experienced Hospital Me...

Location

United States , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of recent experience in hospital billing and medical collections
Hands-on knowledge of hospital revenue cycle processes, including claim follow-up, denial resolution, and appeals management
Experience working with multiple payer categories such as Medicare managed care, Medi-Cal managed care, and commercial insurance plans
Familiarity with HMO and PPO reimbursement structures in a hospital setting
Understanding of both inpatient and outpatient hospital accounts
Strong analytical skills with the ability to review account activity and identify barriers to payment
Effective communication and organizational skills to manage a high volume of accounts and payer interactions

Job Responsibility

Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement
Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution
Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage
Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims
Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution
Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables
Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

Fulltime

Hospital Medical Collections Specialist

A respected hospital in the San Fernando Valley is seeking an experienced and re...

Location

United States , North Hollywood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of hospital medical collections or healthcare revenue cycle experience required
Strong understanding of hospital billing, insurance follow-up, and denial management processes
Experience working with government and commercial payers, including Medicare and Medi-Cal managed care plans
Knowledge of inpatient and outpatient claim processing preferred
Excellent analytical, problem-solving, and communication skills
Ability to work independently in a fast-paced healthcare environment while managing multiple priorities
Proficiency in healthcare billing systems and Microsoft Office applications
All applicants applying for U.S. job openings must be legally authorized to work in the United States

Job Responsibility

Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers
Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution
Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs
Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims
Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history
Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes
Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates
Monitor assigned accounts to reduce aging AR and improve overall collection performance
Support departmental goals related to cash collections, denial management, and revenue cycle efficiency

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

Hospital Medical Collections Specialist

A Hospital in the San Fernando Valley are looking for an experienced Hospital Me...

Location

United States of America , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of recent experience in hospital billing and medical collections
Hands-on knowledge of hospital revenue cycle processes, including claim follow-up, denial resolution, and appeals management
Experience working with multiple payer categories such as Medicare managed care, Medi-Cal managed care, and commercial insurance plans
Familiarity with HMO and PPO reimbursement structures in a hospital setting
Understanding of both inpatient and outpatient hospital accounts
Strong analytical skills with the ability to review account activity and identify barriers to payment
Effective communication and organizational skills to manage a high volume of accounts and payer interactions

Job Responsibility

Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement
Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution
Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage
Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims
Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution
Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables
Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Free online training

Fulltime

Hospital Medical Collections Specialist

Join our hospital team as a Medical Collections Specialist—a critical role in ou...

Location

United States , Van Nuys, CA

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Strong communication and customer service abilities
Detail-oriented with solid organizational skills
Basic computer skills
Ability to work both independently and collaboratively
Commitment to confidentiality and professionalism

Job Responsibility

Manage and resolve patient accounts, including billing and collections
Contact patients and insurance companies to follow up on outstanding balances
Maintain accurate records and documentation in our collection systems
Communicate professionally with patients, insurers, and internal teams
Ensure compliance with privacy regulations and hospital policies
Support strategic initiatives to improve collections processes

What we offer

medical, vision, dental, and life and disability insurance
company 401(k) plan
free online training

Medicare Managed Care Medical Collections Specialist

A hospital in Los Angeles is seeking a Medicare Managed Care Medical Collections...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical collections, insurance follow-up, or healthcare accounts receivable required
Experience with Medicare managed care collections in a hospital or healthcare setting preferred
Strong knowledge of insurance appeals, denial management, and insurance AR follow-up
Familiarity with medical billing processes, payer guidelines, and reimbursement practices
Strong communication, negotiation, and problem-solving skills
Ability to organize and prioritize a high-volume workload in a fast-paced environment
Proficiency with hospital billing systems and electronic medical or revenue cycle platforms preferred
At least 3 years of experience in medical collections, insurance follow-up, or healthcare accounts receivable
Background in Medicare managed care or Medicare Advantage collections within a hospital or healthcare setting is preferred
Working knowledge of denial management, insurance appeals, and payer follow-up practices

Job Responsibility

Call insurance companies, payers, and/or patients to secure payment on unpaid claims
Perform timely follow-up on outstanding insurance accounts receivable to ensure appropriate reimbursement
Manage and prioritize daily workload to maximize collection efforts and minimize delays in payment resolution
Submit and track insurance appeals related to denied or underpaid claims
Review denials, determine root cause, and take corrective action to support claim resolution
Gather and provide required documentation to payers to support payment or appeal requests
Work closely with internal departments to resolve billing discrepancies and improve claim turnaround times
Maintain accurate account notes and update billing systems with collection and follow-up activity
Monitor unpaid claims to ensure timely escalation and resolution

What we offer

medical insurance
vision insurance
dental insurance
life insurance
disability insurance
401(k) plan

Fulltime

Medical Collections Specialist

We are seeking a Collections Specialist with hospital experience to manage patie...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous hospital collections experience required
Familiarity with patient billing, insurance follow-up, and revenue cycle processes
Strong communication and negotiation skills
Ability to work independently in a fully remote environment
Experience with financial or billing software preferred
Detail-oriented and organized, able to manage multiple accounts and follow-ups

Job Responsibility

Contact patients via phone, email, and mail regarding past-due balances
Follow up with insurance companies and third-party payers to resolve unpaid claims
Review patient accounts for accuracy, applying payments, adjustments, and necessary corrections
Set up payment arrangements for patients in accordance with hospital policies
Document all interactions and account updates in the hospital financial system
Collaborate with hospital departments to resolve account disputes and clarify billing questions
Escalate complex issues to management as needed
Support month-end reporting and collection metrics tracking

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Medical Collections Specialist

A Hospital in Los Angeles is seeking a Medical Collections Specialist with exper...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2 years medical billing and medical insurance collections experience
Strong understanding of HMO and PPO
Must be successful with investigating, tracking, and resolving denied medical insurance claims

Job Responsibility

Investigating and resolving denied claims from various insurance providers
Reviewing credit balances and denials management
Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing
Follow up on outstanding claim denials and secure reimbursement where possible
Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies
Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates
Submit appeals and reconsideration requests to insurance companies for denied claims

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Medical Collections Specialist

We are looking for a skilled Medical Collections Specialist to join our team. In...

Location

United States , Malvern

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing, collections, and insurance claims management
Strong knowledge of claim denials, appeals, and hospital billing processes
Proficiency in working with medical billing software and Microsoft Office applications, including Excel and Outlook
Ability to analyze and resolve complex claim issues using critical thinking and problem-solving skills
Familiarity with healthcare claim guidelines and payer-specific requirements
Exceptional organizational and time management skills to handle high volumes of claims efficiently
Self-motivated and capable of working independently with minimal supervision
Excellent communication skills to interact effectively with insurance companies and team members

Job Responsibility

Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances
Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances
Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials
Document all claim activity, correspondence, and status updates thoroughly in the billing system
Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking
Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines
Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation
Maintain a high volume of calls and follow-ups while ensuring accuracy and organization
Utilize technical expertise with Office Suite applications and practice management software to support daily tasks
Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

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Hospital Medical Collections Specialist

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