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Medical Insurance Collections Specialist

United States, Buena Park Employment contract · Job Posted April 23, 2026

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Job Description

A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.

Job Responsibility

  • Manage accounts receivable and pursue outstanding medical insurance claims from payers
  • Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances
  • Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements
  • Interpret EOBs (Explanation of Benefits) and remittance advice
  • Accurately document collection efforts and outcomes in the billing system
  • Negotiate payment arrangements and address denials or appeals
  • Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices

Requirements

  • Minimum three (3) years of experience in medical insurance collections or medical billing
  • Bilingual fluency in both Spanish and English (verbal and written)
  • Proficient knowledge of healthcare billing systems, claims follow-up, and denial management
  • Strong organizational and time management skills
  • Excellent communication and negotiation abilities
  • High attention to detail and compliance standards

What we offer

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

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