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We are looking for a detail-oriented Medical Biller/Collections Specialist to support Federally Qualified Health Care revenue cycle operations for a healthcare organization in Pomona, California. This Contract position focuses on accurate payment posting, insurance follow-up, and claim submission activities that help maintain timely reimbursement and organized financial records. The ideal candidate brings hands-on experience with medical billing processes, payer communication, and month-end reporting in a fast-paced healthcare environment.
Job Responsibility
Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts
Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly
Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review
Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files
Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors
Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance
Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution
Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers
Requirements
Demonstrated experience in medical billing and collections within a healthcare or hospital setting
Working knowledge of medical denials management and appeals processes for insurance claims
Familiarity with hospital billing practices and reimbursement workflows
Ability to read and apply ICD and CPT coding information in support of claim accuracy
Experience using electronic remittance advice tools and clearinghouse systems for claims processing
Proficiency in Excel for tracking activity, compiling reports, and supporting month-end reconciliation
Strong attention to detail with the ability to manage multiple accounts and deadlines effectively
What we offer
Medical, vision, dental, and life and disability insurance