Medical Insurance Collections Specialist Job at Robert Half (Van Nuys)

Medical Insurance Collections Specialist

Join a mission-driven healthcare team where your expertise directly impacts pati...

Location

United States , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

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

What we offer

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

Fulltime

New

Bilingual Medical Insurance Specialist

Are you looking for the chance to work 100% from home while utilizing your organ...

Location

Canada , Moncton

Salary:

52000.00 - 55000.00 CAD / Year ▼

Randstad

Expiration Date

August 12, 2026

Requirements

Minimum of 2+ years of recent experience within the last 7 years as a Patient Caseworker, Pharma Reimbursement Specialist, Patient Coordinator, or Patient Care Specialist
Navigating public/private insurance funding, benefit investigations, special authorizations, and appeals
5/5 bilingual proficiency in French and English
Legally eligible to work full-time in Canada
Experience with CRM systems (such as Salesforce) and Microsoft Office
Reside in Quebec (QC) or New Brunswick (NB)

Job Responsibility

Coordinate and manage all aspects required to obtain prescription drug coverage for patients
Navigate complex lobbying processes, investigate financial options, manage benefit investigations, and handle special authorizations and appeal requests
Implement call-centre programs providing telephone support to patients, healthcare professionals, and funding bodies regarding funding and access issues
Act as a critical liaison between patients, pharmacies, insurance companies, and physicians' offices to maximize reimbursement solutions
Administer case-management protocols including data collection, ongoing patient follow-up, therapy disruption monitoring, and mandatory adverse event reporting
Accurately document every activity and interaction in the program-specific CRM database and coordinate all related paperwork for insurance and federal funding submissions

What we offer

Registered Savings Plan (RSP) with an immediate company match starting on Day 1
Access to a company stock purchase program
Immediate access to full medical, dental, and vision care packages
3 weeks of paid vacation
Designated paid sick and wellness days
Annual performance bonus potential
Annual merit review process for salary increases
Extensive programs focusing on physical, emotional, financial, and social wellness (including backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, and paid parental/caregiver leave)
Home office hardware and equipment provided as per company policy
Monday-Friday schedules

Fulltime

New

Medical Collections Specialist

A Regional Hospital is looking for a skilled Medical Collections Specialist to j...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in medical collections or related roles
Proficiency in handling UB-04 claim forms and hospital billing processes
Strong knowledge of medical billing, including appeals and denials
Familiarity with HMO and PPO insurance plans
Experience in managing collections for acute care facilities
Ability to navigate hospital revenue cycles effectively
Excellent communication skills for interacting with internal teams and external payers
High attention to detail and organizational skills to maintain accurate records

Job Responsibility

Oversee the collection process for medical insurance claims, ensuring timely and accurate submissions
Handle UB-04 claim forms for acute care facilities, verifying compliance with regulatory standards
Conduct follow-ups with insurance providers to address unpaid claims, denials, or payment discrepancies
Collaborate with internal teams and external payers to resolve outstanding account balances
Ensure all claims adhere to insurance and regulatory requirements
Maintain thorough documentation and records of claim statuses within organizational systems
Analyze and address issues related to medical billing, appeals, and denials
Provide expertise in managing hospital billing for both inpatient and outpatient services
Support the optimization of the hospital revenue cycle through accurate collections processes

What we offer

Tuition reimbursement
Medical/dental insurance
15% 401k retirement matching

Fulltime

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

Hospital Medical Collections Specialist

A respected hospital in the San Fernando Valley is seeking an experienced and re...

Location

United States , North Hollywood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of hospital medical collections or healthcare revenue cycle experience required
Strong understanding of hospital billing, insurance follow-up, and denial management processes
Experience working with government and commercial payers, including Medicare and Medi-Cal managed care plans
Knowledge of inpatient and outpatient claim processing preferred
Excellent analytical, problem-solving, and communication skills
Ability to work independently in a fast-paced healthcare environment while managing multiple priorities
Proficiency in healthcare billing systems and Microsoft Office applications

Job Responsibility

Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers
Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution
Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs
Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims
Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history
Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes
Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates
Monitor assigned accounts to reduce aging AR and improve overall collection performance
Support departmental goals related to cash collections, denial management, and revenue cycle efficiency

What we offer

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

Fulltime

Hospital Medical Collections Specialist

A Hospital in the San Fernando Valley are looking for an experienced Hospital Me...

Location

United States , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of recent experience in hospital billing and medical collections
Hands-on knowledge of hospital revenue cycle processes, including claim follow-up, denial resolution, and appeals management
Experience working with multiple payer categories such as Medicare managed care, Medi-Cal managed care, and commercial insurance plans
Familiarity with HMO and PPO reimbursement structures in a hospital setting
Understanding of both inpatient and outpatient hospital accounts
Strong analytical skills with the ability to review account activity and identify barriers to payment
Effective communication and organizational skills to manage a high volume of accounts and payer interactions

Job Responsibility

Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement
Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution
Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage
Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims
Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution
Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables
Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

Fulltime

Hospital Medical Collections Specialist

A respected hospital in the San Fernando Valley is seeking an experienced and re...

Location

United States , North Hollywood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of hospital medical collections or healthcare revenue cycle experience required
Strong understanding of hospital billing, insurance follow-up, and denial management processes
Experience working with government and commercial payers, including Medicare and Medi-Cal managed care plans
Knowledge of inpatient and outpatient claim processing preferred
Excellent analytical, problem-solving, and communication skills
Ability to work independently in a fast-paced healthcare environment while managing multiple priorities
Proficiency in healthcare billing systems and Microsoft Office applications
All applicants applying for U.S. job openings must be legally authorized to work in the United States

Job Responsibility

Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers
Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution
Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs
Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims
Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history
Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes
Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates
Monitor assigned accounts to reduce aging AR and improve overall collection performance
Support departmental goals related to cash collections, denial management, and revenue cycle efficiency

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

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Medical Insurance Collections Specialist

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