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Surgery Medical Biller/Collections Specialist

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Los Angeles

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Category:

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

This Surgery Medical Biller/Collections Specialist involves managing claim submissions, addressing denials, and ensuring the accuracy of billing processes to optimize reimbursement.

Job Responsibility:

  • Address and correct front-end edits and clearinghouse errors to facilitate clean claim processing
  • AR Insurance follow up via phone and online web portals
  • Submit electronic claims in compliance with specific payer guidelines and requirements
  • Manage timely corrections, rebills, and resubmissions of claims to resolve outstanding issues
  • Handle claim attachments and supporting documentation to meet payer requirements
  • Investigate and resolve denials by preparing appeals with appropriate clinical, coding, and billing documentation
  • Coordinate outreach to payers for unresolved or aged claims and follow up on outstanding accounts
  • Collaborate with patient access and coding teams to address discrepancies and ensure billing accuracy
  • Monitor payer trends, escalate systemic issues, and recommend improvements to prevent recurring denials
  • Verify patient information, including demographics, insurance coverage, and authorization details, to ensure claims are accurate before submission
  • Assist leadership with high-dollar or time-sensitive accounts to ensure timely resolution

Requirements:

  • Minimum of 3–5 years of experience in healthcare billing, claims follow-up, and denial management
  • At least 2 years of hands-on experience with Epic billing workflows and denial resolution processes
  • Comprehensive understanding of payer guidelines, claim submission protocols, and appeal procedures
  • Strong attention to detail and the ability to accurately manage complex billing tasks
  • Proven organizational skills with the ability to prioritize multiple responsibilities
  • Expertise in medical billing, collections, denials, appeals, and ambulatory surgery
  • Familiarity with compliance standards and regulations governing medical records
  • Ability to collaborate effectively with multiple teams to achieve billing accuracy and reimbursement goals
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
February 20, 2026

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