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Medical Insurance Collections Specialist

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Robert Half

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Location:
United States , Van Nuys

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Category:

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

Our team is seeking a Medical Insurance Collections Specialist with prior hospital experience to join a dynamic healthcare organization. In this role, you will play a critical part in maximizing hospital revenue by managing insurance denials, processing appeals, and handling collections related to HMO/PPO insurance claims. A strong understanding of UB-04 billing practices is required.

Job Responsibility:

  • Review and analyze insurance denials and identify appropriate action steps for appeal or resubmission
  • Prepare and submit timely, thorough appeals using clinical and financial data
  • Navigate and resolve issues related to HMO/PPO insurance programs
  • Complete and accurately review UB-04 forms for billing and appeals processes
  • Communicate with insurance carriers to gather status updates and clarify payment issues
  • Collaborate with hospital billing and patient accounts teams to resolve outstanding balances
  • Document all actions and maintain compliance with HIPAA and hospital policies

Requirements:

  • Previous experience in hospital medical insurance collections is required
  • Strong familiarity with insurance denial management and appeals
  • Proficient in completing and reviewing UB-04 forms
  • Experience with HMO/PPO insurance billing procedures
  • Excellent organizational, communication, and problem-solving skills
  • Ability to work in a fast-paced and team-oriented environment
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
January 12, 2026

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