• Clinical Appeals Medical Collector

    Robert Half Accountemps (Los Angeles, CA)


    Description

    Are you a detail-oriented professional with expertise in denials management and medical collections? We are seeking a Clinical Appeals Medical Collector to join our team remotely! The ideal candidate will be experienced in handling denials, appeals, and working with various insurance payers, including HMO, PPO, Medicare, and Medi-Cal. If you thrive in a fast-paced environment and are ready to make an impact, this position is for you!

    Key Responsibilities:

    + Manage insurance denials and appeals with precision and timeliness.

    + Analyze denied claims and identify root causes to reduce future occurrences.

    + Submit detailed and comprehensive appeals to insurance providers (HMO, PPO, Medicare, Medi-Cal) to secure payment.

    + Stay up-to-date with payer policies and procedures to ensure compliance.

    + Collaborate with healthcare providers, payers, and internal team members for resolution of outstanding accounts.

    + Maintain accurate documentation of claims and communications.

    Requirements

    + Minimum of 2 years of experience in denials management and medical collections required.

    + Experience working with HMO, PPO, Medicare, and Medi-Cal insurance plans.

    + Strong understanding of claims, billing, and appeals processes.

    + Proficiency in medical billing software and systems.

    + RN, LVN, or medical coding certification is a plus.

     

    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.

     

    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) .