Medical Collections Specialist Job at Robert Half (Sacramento)

Medical Accounts Receivable and Billing Specialist

This role will support a growing department. Our client offers great work-life b...

Location

United States , Odenton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Small, private clinic AR experience highly preferred
Solid understanding of medical billing
Knowledge of Accounts Receivable (AR) in a healthcare/clinical environment
Demonstrated analytical skills in basic accounts receivable and accounting policy
Current and relevant ERP system experience
AA or BS/BA degree in Accounting or in a related field

Job Responsibility

Responsible for billing and coding
Collecting on past due balances
Insurance company follow-up
Maintain up to date information from insurance companies and customers
Reduce AR aging
Special project as assigned
Provide and obtain necessary documentation as needed

What we offer

Great work-life balance
Free online training
Medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

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

New

Medical Collections Specialist

We are looking for a detail-oriented Medical Collections Specialist to support r...

Location

United States , Henrico

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical collections within a healthcare or medical office environment
Working knowledge of medical billing processes, insurance claim follow-up, and reimbursement practices
Ability to manage denied claims and prepare effective medical appeals based on payer requirements
Familiarity with medical insurance guidelines, coverage verification, and payment resolution procedures
Proficiency in using eClinicalWorks or a comparable electronic medical records and practice management system
Strong attention to detail with the ability to maintain accurate account documentation and records
Effective communication and organizational skills for handling multiple accounts and payer interactions efficiently

Job Responsibility

Pursue outstanding insurance and patient accounts by conducting timely follow-up and documenting all collection activity accurately
Investigate unpaid or underpaid claims to identify billing discrepancies, denial causes, and reimbursement obstacles
Prepare and submit claim reconsiderations and appeals with supporting documentation to maximize payment recovery
Work closely with billing and internal revenue cycle teams to correct account issues and move claims toward resolution
Review insurance responses, payment postings, and account histories to determine next steps for collection efforts
Maintain accurate records in eClinicalWorks and ensure account notes reflect current status and actions taken
Communicate professionally with payers, patients, and internal stakeholders regarding balances, claim status, and account resolution
Monitor aging reports and prioritize accounts that require immediate follow-up to reduce outstanding receivables

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

Medical Collections Specialist

Robert Half is seeking a diligent and customer-focused Medical Collections Speci...

Location

United States , Oak Brook

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical collections or healthcare accounts receivable
Understanding of medical billing, coding, and insurance processes
Proficiency in healthcare collections software and Microsoft Excel
Excellent communication and negotiation skills
Strong attention to detail, organization, and confidentiality compliance

Job Responsibility

Contact patients and insurance companies regarding overdue medical balances
Review patient accounts and resolve billing discrepancies
Negotiate payment arrangements and ensure timely collection of payments
Maintain accurate records of collection activities in compliance with HIPAA and company policies
Collaborate with billing, insurance, and healthcare provider teams to clarify account issues
Prepare regular aging reports and assist with reconciliations as needed

What we offer

medical
dental
vision
401(k)
paid time off
ongoing professional development opportunities
life and disability insurance

Medical Collections Specialist

We are looking for a dedicated Medical Collections Specialist to join our team o...

Location

United States , Bethesda

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical collections and billing processes
Strong knowledge of handling medical denials and appeals
Familiarity with Modernizing Medicine (ModMed) software
Excellent communication skills, both written and verbal
Ability to work effectively in an on-site healthcare setting
Attention to detail and strong organizational abilities
Understanding of medical insurance policies and procedures
Commitment to maintaining compliance with healthcare billing regulations

Job Responsibility

Contact patients to discuss outstanding account balances and resolve payment issues
Manage medical billing processes, ensuring accurate and timely submissions
Address and resolve medical denials and appeals with insurance providers
Collaborate with internal teams to ensure seamless handling of accounts receivable
Utilize Modernizing Medicine (ModMed) software to track and manage collections
Analyze accounts to identify discrepancies and implement corrective actions
Maintain detailed records of patient communications and payment activities
Ensure compliance with healthcare regulations and billing standards
Provide excellent customer service to patients and insurance representatives
Prepare reports on collection activities and account statuses for management review

What we offer

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

Medical AR Collections Specialist

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in medical collections within a healthcare or revenue cycle environment
Working knowledge of medical billing processes, insurance follow-up, and accounts receivable management
Experience handling medical denials and preparing effective claim appeals
Familiarity with medical insurance guidelines and managed care payer processes
Ability to manage a large account inventory while meeting daily productivity expectations
Strong attention to detail with the ability to document account activity clearly and accurately
Effective communication skills for interacting with payers and resolving complex reimbursement issues

Job Responsibility

Review and pursue outstanding accounts that are 120 to 210 days past due to improve reimbursement results
Manage a high-volume accounts receivable workload, with responsibility for a portfolio of approximately 8,000 to 9,000 accounts
Investigate underpayments, recover balances when possible, and determine appropriate next steps for accounts at risk of write-off
Communicate with insurance payers and managed care organizations, including LA Care and Kaiser, to resolve claim and payment issues
Complete daily follow-up activity on roughly 50 to 60 accounts, ensuring timely status updates and documentation
Prepare and submit appeals or supporting documentation to address denied or disputed medical claims
Maintain accurate account notes and collection records within organizational systems to support ongoing resolution efforts

What we offer

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

Patient Access Specialist

We are looking for a dedicated Patient Access Specialist to join our team in Bet...

Location

United States , Bethel Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in patient registration, scheduling, or related healthcare roles
Strong skills in medical insurance verification and understanding of compliance standards
Excellent interpersonal and communication abilities to assist patients and provide exceptional service
Proficiency in using auditing systems and reporting tools for account corrections
Ability to manage inbound and outbound calls to collect patient information and financial liabilities
Familiarity with consent forms and patient education materials
Detail-oriented with the capability to meet point-of-service collection goals
Adept at working with insurance verification systems and maintaining clean claim rates

Job Responsibility

Accurately assign medical record numbers (MRNs) and complete compliance checks to ensure proper patient documentation
Provide clear and compassionate instructions to patients while collecting insurance information and processing physician orders
Meet assigned point-of-service goals through efficient and precise handling of patient accounts
Conduct audits of patient accounts to ensure accuracy and compliance, generating statistical reports for leadership as needed
Perform pre-registration tasks by contacting patients to gather demographic, insurance, and financial information, including past due balances
Explain and obtain signatures for general consent forms, distributing educational documents to patients and guardians
Verify insurance eligibility and input benefit data into the system to support billing and point-of-service collections
Screen medical necessity using approved software, informing patients of potential non-payment scenarios when applicable

What we offer

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

Fulltime

Medical Collections Specialist

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

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical collections and healthcare revenue cycle management
Strong knowledge of medical terminology and insurance processes, including copay, coinsurance, and deductibles
Familiarity with Medicare Advantage plans and other insurance products
Demonstrated ability to write persuasive appeals for denied claims
Excellent communication skills for interacting with patients and insurance representatives
Ability to thrive in a fast-paced environment while maintaining accuracy and productivity
Strong analytical and problem-solving skills to address claim issues effectively
Commitment to teamwork and achieving organizational goals

Job Responsibility

Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication
Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability
Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution
Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities
Draft compelling appeals to challenge claim denials and secure appropriate reimbursements
Maintain a thorough understanding of various insurance products, including Medicare Advantage plans
Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals
Collaborate with team members to handle complex claims and develop effective solutions
Utilize analytical skills to make informed decisions on resolving claims and account discrepancies
Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets

What we offer

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

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Medical Collections Specialist

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