Surgery Medical Billing Collections Specialist Job at Robert Half (Los Angeles)

Sr. Medical Billing Collections Specialist

A Surgery Medical Group that is connected to a large Hospital system is seeking ...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of experience in medical revenue cycle
Strong experience with appeals, denials management, and insurance collections
Experience with EPIC reporting and running operational or billing reports
Background in physician billing and/or surgery billing
Advanced analytical and problem-solving skills
Proficiency in Microsoft Excel, including reporting and data analysis functions
Strong attention to detail, communication, and follow-up skills

Job Responsibility

Manage and resolve insurance denials and appeals in a timely and accurate manner
Perform insurance collections and follow up on outstanding claims to maximize reimbursement
Analyze revenue cycle trends and identify root causes of billing and reimbursement issues
Run, review, and interpret reports in EPIC to support operational and financial performance
Prepare recurring and ad hoc reports related to denials, appeals, collections, and billing activity
Support physician and/or surgery billing processes, ensuring accuracy and compliance with payer requirements
Use Excel to track metrics, analyze data, and create reporting tools
Collaborate with internal teams to improve workflow efficiency and revenue cycle outcomes

What we offer

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

Surgery Medical Biller/Collections Specialist

This Surgery Medical Biller/Collections Specialist involves managing claim submi...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

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

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Patient Access Services Representative

Assists medical care givers with patient management, tracking and monitoring req...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
completion of vocational medical office training desired, or an equivalent combination of relevant education and experience
preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery
some positions may require certification as a Medical Assistant (CMA)
knowledge of office management practices, including billing and scheduling within healthcare
knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
knowledge of patient care protocols and practices
knowledge of general patient care practice, methods and regulations
skill in evaluating patient’s needs or following up with a care-giver and then providing follow up support to patients
skill in scheduling appointments and referrals

Job Responsibility

Assists medical care givers with patient management, tracking and monitoring requirements
answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments
perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities
exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates
ensures that cash handling follows corporate policies
ensures completion of financial documentation in accordance with TMCH’s credit and collection policies
explains all necessary compliance forms and obtains patient signature as required for regulatory agencies
performs medical necessity screening and ensures compliance with system requirements
interacts with physicians and/or physicians’ office staff to secure diagnosis, procedure details or authorizations and information for denials as needed

Fulltime

Patient Access Services Representative

Assists medical care givers with patient management, tracking and monitoring req...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
completion of vocational medical office training desired, or an equivalent combination of relevant education and experience
Preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery
Some positions may require certification as a Medical Assistant (CMA)
Knowledge of office management practices, including billing and scheduling within healthcare
Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
Knowledge of patient care protocols and practices
Knowledge of general patient care practice, methods and regulations
Skill in evaluating patient’s needs or following up with a care-giver and then providing follow up support to patients
Skill in scheduling appointments and referrals

Job Responsibility

Assists medical care givers with patient management, tracking and monitoring requirements
Answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments
Perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
Collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates
ensures that cash handling follows corporate policies
Ensures completion of financial documentation in accordance with TMCH’s credit and collection policies
Explains all necessary compliance forms and obtains patient signature as required for regulatory agencies
Performs medical necessity screening and ensures compliance with system requirements

Fulltime

Casual Clerk

Casual Clerk position in the Registration department at La Verendrye General Hos...

Location

Canada

Salary:

26.21 - 27.01 CAD / Hour

Riverside Health Care

Expiration Date

Until further notice

Requirements

Minimum Grade 12, or equivalent education acceptable to the Employer
Proficient in the use of computer software, including Word and Excel
Understands and maintains confidentiality
Excellent organizational skills
Ability to act or respond in a crisis situation
Ability to multi-task
versatile in changing priorities
Ability to work independently as well as in a team
Telephone etiquette
Demonstrates initiative

Job Responsibility

Patient registration
Operate communications systems
Provide reception/information services to patients and visitors
Collection, preparation, audit, and distribution of statistical data for the corporation
Perform basic finance functions
General office duties
Perform all inpatient, day surgery, emergency, and clinical patient registrations
Prepare and distribute daily, weekly, and monthly reports generated via Meditech for various departments
Assign Health Card Numbers to Newborns
Maintain the Birth and Bed books

Parttime

Registration & Eligibility Specialist

UNM Hospital is the largest community mental health provider in the state of New...

Location

United States , Albuquerque

Salary:

16.59 - 22.95 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

High School or GED Equivalent
2 years directly related experience
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Not Applicable/Not Required

Job Responsibility

Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned
verify insurance coverage eligibility and benefits
verify required referrals and/or prior authorization are in place prior to visit
contact patients for outdated or missing demographics
professional and efficient phone call handling via telephone ACD system in a call center setting
perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care
screen patients for coverage and assist them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs
perform intake applications for State of NM Medicaid
Ensure adherence to Hospitals and departmental policies and procedures
Assist patients in locating departments

What we offer

Full health/dental/vision with no deductible for full-time employees
Retirement with up to 6% match
PTO and 9 paid holidays
Amazing shift differentials including up to 26% for weekend nights
Sign-on bonuses and relocation assistance

Fulltime

New

Pharmacy Technician

At CVS Health, we are focused on transforming health care for our customers and ...

Location

United States , Austin

Salary:

16.00 - 24.00 USD / Hour

CVS Health

Expiration Date

August 02, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus
Ability to concentrate on a task over a period of time
Ability to pivot quickly from one task to another to meet patient and business needs
Ability to confirm prescription information and label accuracy, ensuring patient safety

Job Responsibility

Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
voluntarily traveling to stores in the market to work shifts as needed by the business

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs

Fulltime

New

Data Scientist (C3.ai Certified)

At Codvo, software and people transformations go hand-in-hand. We are a global e...

Location

India , Pune

Salary:

Not provided

Codvo AI

Expiration Date

Until further notice

Requirements

Advanced knowledge of statistical techniques, NLP, machine learning algorithms and deep learning frameworks like TensorFlow, Theano, Keras, Pytorch
Proficiency with modern statistical modelling (regression, boosting trees, random forests, etc.), machine learning (text mining, neural network, NLP, etc.), optimization (linear optimization, nonlinear optimization, stochastic optimization, etc.) methodologies
Build complex predictive models using ML and DL techniques with production quality code and jointly own complex data science workflows with the Data Engineering team
Familiar with modern data analytics architecture and data engineering technologies (SQL and No-SQL databases)
Knowledge of REST APIs and Web Services
Experience with Python, R, sh/bash
Fluent in English Communication (Spoken and verbal)
Should be a team player
Should have a learning aptitude
Detail-oriented, analytically

Fulltime

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Surgery Medical Billing Collections Specialist

Job Description

Job Responsibility

Requirements

What we offer

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