We are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.
- Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
- Follow up with payers (HMO, PPO, Medi-Cal, Medicare, etc.) on unpaid or denied claims and resubmit as necessary.
- Process payments from insurance companies and patients.
- Maintain accurate and up-to-date patient billing records.
- Answer patient inquiries regarding billing and insurance coverage.
- Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors.
- Write and submit appeals to insurance companies, as needed.
- Schedule: Monday to Friday, 7:00 am - 3:30 pm or 7:30 am - 4:00 pm.
- Work site: Newport Beach/John Wayne Airport area; must be able to work onsite 100% during temp period.
- Benefits after temp-to-hire period include health insurance coverage, retirement plan options with a match, generous PTO, and paid holidays.
- Hybrid schedule after transition: 2 days in office.
Requirements & Qualifications
- 3-4 years of experience in medical revenue cycle management, including collections experience.
- Must have experience using an EHR system; Epic experience is a plus.
- Proficiency in medical terminology.
- Knowledge of ICD-10 and CPT codes.
- Knowledge of medical collection procedures and practices.
- Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.
- Expertise with HMO, PPO, Medi-Cal, and Medicare.
- This is not an entry-level position; prior experience in medical billing/collections is required.
Benefits & Perks
- Health insurance coverage
- Retirement plan options with a match
- Generous paid time off (PTO)
- Paid holidays
- Hybrid schedule after temp-to-hire period
Location
California, US
Employment Type
Temporary
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago