• Medical Collections Specialist

    Robert Half Accountemps (Alhambra, CA)


    Description

    A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,

    Responsibilities:

    1. Investigating and resolving denied claims from various insurance providers.

    2. Reviewing credit balances and denials management.

    3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.

    4. Follow up on outstanding claim denials and secure reimbursement where possible.

    5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.

    6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.

    7. Submit appeals and reconsideration requests to insurance companies for denied claims.

    8. Strong understanding of HMO and PPO.

     

    Requirements - Excellent verbal, written, and social communication skills

     

    - Medical appeals experience

     

    - Adeptness in PPO plans (preferred provided organizations)

     

    - Medical denials experience

     

    - Health maintenance organization experience

     

    - Medical collections experience preferred

     

    - General familiarity with Hospital Revenue Cycle

     

    - Medical billing experience desired

     

    - Demonstrated knowledge of Hospital Inpatient

     

    - Healthcare practice management software experience preferred

     

    - Minimum of 3+ years of prior healthcare collections experience

     

    - Experience with Microsoft Office required

     

    - High School diploma or equivalent required

    - Strong understanding of explanation of benefits (EOBs)

    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.

     

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    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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