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Description

We are looking for a skilled Surgery Medical Collections Specialist to join our team. In this role the Surgery Medical Collections Specialist will play a critical part in managing insurance follow-ups, addressing medical appeals, and resolving claim denials. This position is ideal for someone with expertise in medical billing and collections, particularly in surgical and outpatient care settings.

Responsibilities:

• Conduct thorough follow-ups on insurance claims to ensure timely reimbursements.

• Analyze and resolve denied claims by identifying errors and submitting appeals as necessary.

• Collaborate with insurance companies to address discrepancies and secure payment resolutions.

• Maintain accurate and up-to-date records of all collection activities and claim statuses.

• Process billing for ambulatory and outpatient surgical procedures, ensuring compliance with regulations.

• Communicate effectively with patients regarding outstanding balances and payment plans.

• Review accounts to detect patterns in denials and recommend process improvements.

• Work closely with the billing team to streamline claims submission and follow-up processes.

• Stay informed about changes in insurance policies and billing procedures to ensure compliance.

Requirements • At least 3 years of experience in medical billing, collections, and appeals.

• Strong knowledge of handling insurance claim denials and submitting medical appeals.

• Familiarity with billing practices for ambulatory surgery and outpatient care.

• Proficiency in using medical billing software and related tools.

• Excellent communication skills for interacting with patients, insurance providers, and team members.

• Ability to analyze claim issues and recommend effective resolutions.

• High attention to detail and organizational skills to manage multiple accounts.

• Understanding of healthcare regulations and compliance standards.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

• 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .