Medical Collections Specialist

Irvine, CA 92614 | Temp-to-Hire

Job ID: [SA] MEDICAL COLLECTOR Industry: Healthcare Pay Rate: $18.00 to $22.00

Medical Collector


Collections Specialist

  •  Collect and adjust outstanding account receivables
  • Demonstrates competence in customer/patient focus and adaptability
  • Review outstanding balances over 30 working days with follow up to payer source for expected payment and release date
  • Submit appeals on short paid or denied claims to payer source when permitted by law or contractual relationships
  • Identify bad debt and contractual allowances with attached documentation supporting request for write-offs
  • Document in computer system all phone calls and correspondence with payer source
  • Calculate accurate contractual write off on open accounts, utilizing appropriate write off codes
  • Resubmit claims not received by payer source, with verification of receipt
  • Timely follow up on open balance accounts, utilizing "Reminder" system tool on previously contacted accounts
  • Resolve refund request within 30 days of request from payer source
  • Respond to patient inquiries regarding account a status within 24 hours
  • Completes compliance education and understands all applicable policies
  • Assist with cash posting functions as needed
  • Files all claim related correspondence electronically in EMR


Knowledge / Skills / Abilities:


  • Knowledge of medical billing systems and clearing houses with special emphasis on home health, hospice, infusion
  • Treats all information and data within the scope of the position with complete confidentiality & security
  • Understand and communicate payer contract language
  • Understands Medicare, Medi-Cal and Commercial payer requirements
  • Dependable and self-reliant
  • Excellent organization and time management skills and flexibility to handle changing priorities
  • Microsoft Word and  Microsoft Excel
  • Problem solving skills
  • Ability to communicate verbally and written inside and outside the company

Risk Management - Cooperates fully in all risk management activities and investigations

Minimum Position Qualifications:

Education: High school diploma or equivalent

Minimum two years of cash posting, Medicare and or commercial billing and collections experience

Preferred Position Qualifications: Healthcare billing and collections experience, ideally if you have DMA or Home infusion experience this would be a HUGE plus!!

Ability to work 8-5:30, or as late as 9:30 to 6:30 

Scheduling interviews this week and would like to move quickly in the process - if you are ready to start work as soon as possible this would be ideal!

We are a casual dress environment and have a fun and positive environment, a team who supports each other and great opportunity to career longevity

We have great opportunities for high quality people like yourself. Tell your friends, relatives and acquaintances. We appreciate your referrals and you have an opportunity to earn $50.00 per referral.

We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the California Fair Employment and Housing Act (FEHA).


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