Medical Collections Specialist, Robert Half

Medical Collections Specialist

Robert Half

Location:
United States, Alhambra

Category:
-

Contract Type:
Not provided

Salary:

Not provided

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Job Description:

A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist 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

Requirements:

2 years medical billing and medical insurance collections experience
Minimum of 3+ years of prior healthcare collections experience
Experience with Microsoft Office required
High School diploma or equivalent required
Strong understanding of explanation of benefits (EOBs)
Strong understanding of HMO and PPO
Medical appeals experience
Medical denials experience
Health maintenance organization experience
Medical collections experience preferred
General familiarity with Hospital Revenue Cycle
Medical billing experience desired
Demonstrated knowledge of Hospital Inpatient
Healthcare practice management software experience preferred
Adeptness in PPO plans
Excellent verbal, written, and social communication skills

Nice to have:

Medical collections experience
Healthcare practice management software experience
Adeptness in PPO plans
Medical billing experience

What we offer:

Medical, vision, dental, and life and disability insurance
401(k) plan
Free online training
Competitive compensation

Additional Information:

Job Posted:
October 09, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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