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Medical Insurance Collections Specialist

United States, Van Nuys Employment contract, Contract work · Job Posted June 10, 2026
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Job Description

Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts. In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.

Job Responsibility

  • Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement
  • Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products
  • Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation
  • Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines
  • Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions
  • Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps
  • Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance
  • Adapt to department workflows and support Collector I-level processes and training initiatives as needed

Requirements

  • At least 3 years of experience in hospital billing and collections within a healthcare or hospital environment
  • Working knowledge of medical billing, medical collections, denials management, and appeals processing
  • Hands-on experience with hospital revenue cycle operations for both inpatient and outpatient accounts
  • Familiarity with Medicare managed care, Medi-Cal managed care, commercial insurance, and HMO/PPO reimbursement structures
  • Ability to review account details, identify payment issues, and resolve balances through organized follow-up
  • Strong written and verbal communication skills for payer outreach, documentation, and appeal preparation
  • High attention to detail and the ability to manage multiple accounts while meeting productivity expectations

What we offer

  • medical, vision, dental, and life and disability insurance
  • enrollment in company 401(k) plan

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