Medical Collections Specialist Job at Robert Half (Los Angeles)

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Medical Collections Specialist

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

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical collections, accounts receivable follow-up, or healthcare reimbursement functions
Strong understanding of Explanation of Benefits documents and insurance claim adjudication processes
Knowledge of patient financial responsibility concepts, including copays, deductibles, coinsurance, and out-of-pocket maximums
Familiarity with commercial insurance plans, PPO products, and Medicare Advantage reimbursement structures
Proven ability to write effective appeals for denied or underpaid medical claims
Confidence interacting with both insurance representatives and patients regarding account balances and claim outcomes
Ability to manage a high-volume workload, stay organized under pressure, and consistently achieve performance targets
Working knowledge of medical terminology and revenue cycle processes related to claim denials and reimbursement

Job Responsibility

Review payer contracts and reimbursement terms to determine correct allowed amounts and identify underpayments
Interpret Explanation of Benefits statements to evaluate claim decisions and confirm financial responsibility
Investigate denied, delayed, or partially paid claims and take appropriate action to secure proper reimbursement
Prepare clear, persuasive appeals that address payer findings and support claim reconsideration
Communicate with insurance carriers to resolve billing discrepancies, payment issues, and adjudication concerns
Speak with patients regarding outstanding balances, explaining how copays, deductibles, coinsurance, and out-of-pocket limits affect what they owe
Maintain consistent follow-up on assigned accounts while meeting productivity expectations in a fast-moving workload
Apply analytical judgment to determine the most effective next steps for account resolution and escalation when needed
Collaborate with team members to support collection goals and maintain quality standards across account follow-up activities

What we offer

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

Medical Collections Specialist

We are looking for a Medical Collections Specialist to join a healthcare revenue...

Location

United States , Greenacres

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical collections, accounts receivable, or a closely related healthcare revenue cycle function
Working knowledge of explanation of benefits review and insurance claim processing practices
Ability to manage denials, payer follow-up, and appeals with accuracy and persistence
Strong attention to detail with effective analytical and problem-solving skills
Comfortable working onsite in a fast-paced, team-oriented environment
Experience with Epic or a similar healthcare billing platform is strongly preferred

Job Responsibility

Analyze explanation of benefits statements to identify billed services, payer reimbursements, contractual adjustments, and patient balances
Work assigned denial and collection accounts to recover outstanding revenue and move claims toward resolution
Research unpaid or partially paid claims and take corrective action to resolve billing discrepancies
Communicate with insurance carriers to clarify claim status, address payment variances, and secure accurate reimbursement
Prepare and submit corrected claims or appeals within required deadlines to prevent filing limit issues
Record all collection efforts, account updates, and follow-up activity accurately within the designated system
Contribute to accounts receivable objectives by helping reduce aging balances and supporting overall collection performance

What we offer

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

Medical Collections Specialist

We are looking for an experienced Medical Collections Specialist to join a growi...

Location

United States , Greenacres

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical collections, medical billing, or accounts receivable within a healthcare setting.
Strong working knowledge of medical denials, appeals, and insurance follow-up procedures.
Ability to recognize timely filing issues and act quickly to prevent lost reimbursement.
Familiarity with radiology claims is highly preferred.
Experience using Epic or similar healthcare billing and claims management systems.
Solid attention to detail with the ability to manage multiple accounts and priorities effectively.
Strong communication skills and comfort working in an onsite team environment.

Job Responsibility

Review denied or underpaid medical claims promptly and take timely action to maximize reimbursement.
Investigate accounts receivable balances by identifying billing issues, filing limits, and payer-specific denial reasons.
Submit corrected claims, supporting documentation, and formal appeals to insurance carriers as needed.
Perform consistent follow-up with insurance companies to resolve outstanding radiology and other medical claims.
Track claim activity, payment status, and collection outcomes to maintain accurate account documentation.
Work denied claims within assigned queues or buckets to reduce aging and improve cash flow.
Coordinate with internal billing and payment posting teams to address discrepancies affecting reimbursement.
Escalate complex payer issues when necessary and support process improvements related to claim recovery.

What we offer

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

Medical Collections Specialist

Our healthcare client in Sacramento is seeking an experienced Medical Collection...

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2+ years of medical collections experience, preferably in a healthcare setting
Strong understanding of insurance follow-up, denials management, and accounts receivable processes
Experience working with billing systems, EMR/EHR platforms, or collections software
Ability to prioritize a high-volume workload and meet deadlines with urgency
Strong communication, problem-solving, and organizational skills
Comfortable working fully on-site in Sacramento

Job Responsibility

Manage and follow up on outstanding insurance and patient balances in a timely manner
Review aging reports and prioritize accounts for collection activity
Contact insurance companies and/or patients to resolve unpaid claims and secure payment
Research denials, underpayments, and payment discrepancies and take appropriate action
Document collection efforts, account updates, and resolutions accurately in the billing system
Collaborate with billing, coding, and other revenue cycle team members to resolve account issues
Maintain productivity standards while ensuring professionalism and accuracy
Support additional revenue cycle or collections-related projects as needed

What we offer

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

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 detail-oriented Medical Collections Specialist to join ...

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2+ years of experience in medical billing or collections in a healthcare setting
Familiarity with Epic or similar EHR platforms preferred
Understanding of revenue cycle management, patient access, and HIPAA compliance
Strong communication, negotiation, and organizational skills
Proficient with MS Office and medical billing software
Ability to manage multiple priorities and deadlines
High school diploma or equivalent required
associate’s or bachelor’s degree in healthcare administration or a related field preferred

Job Responsibility

Manage and collect payments from patients, insurance companies, and other payers
Review accounts, research discrepancies, and resolve billing issues efficiently
Apply knowledge of revenue cycle management processes to achieve outstanding recovery rates
Maintain accurate patient records in accordance with HIPAA and internal compliance guidelines
Utilize electronic health record (EHR) systems (e.g., Epic) for payment tracking and documentation
Partner with internal departments to support month-end close and reporting
Communicate with patients regarding billing questions and payment arrangements
Coordinate with patient access and scheduling teams to resolve insurance or eligibility challenges
Uphold a high level of customer service and professionalism with all parties

What we offer

Competitive compensation and benefits package
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 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

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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