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Description

A Regional Hospital in Los Angeles tied to a large University, is looking for a skilled Medical Collections Specialist to join the medical revenue cycle team. In this role, the Medical Collections Specialist will be tasked with managing and processing medical insurance claims for acute care facilities, ensuring accuracy and efficiency in collections. The Medical Collections Specialist position offers an opportunity to utilize your expertise in UB-04 claims while collaborating with internal and external stakeholders to resolve outstanding balances.

Responsibilities:

• 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.

This company believes in its employee moral offering tuition reimbursement, medical/dental insurance and 15% 401k retirement matching,

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.

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.

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