Medical Collections Specialist
361 Hospital Rd. , Suite 521 Newport Beach, CA 92663 US
Job Description
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.
Duties:
- 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 and PPO) 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.
- Minimum of 2 years of experience in medical revenue cycle management, including collections experience.
- MUST have experience using EHR system, experience with AdvancedMD is a plus
- Proficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices.
- Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.
- Expertise with HMO and PPO
Note: This is not an entry-level position. Prior experience in medical billing/collections is required.
Schedule: Monday to Friday; flexible hours (7:00 am - 3:30 pm, 7:30 am - 4:00 pm, or 8:00 am - 4:30 pm)
Benefits after Temp to Hire
- Health insurance coverage
- Retirement plan options with match
- Generous Paid Time Off (PTO) and paid holidays
Meet Your Recruiter
Alexis Cabero
Branch Manager
As Branch Manager, Alexis Cabero oversees recruiting efforts across all divisions while spearheading the Legal and Healthcare divisions. She leads a team of recruiters and drives talent strategies that support a wide range of business needs. Alexis specializes in identifying top-tier professionals in accounting & finance, legal support, medical devices, administrative operations, customer service, engineering, and human resources.
A graduate of the University of California, Irvine with a B.A. in Arts and Digital Media, Alexis began her recruiting career in 2014 staffing assisted living facilities—matching compassionate healthcare professionals with clients who needed dedicated, non-medical personal care. Her experience has since expanded into high-volume recruiting, professional staffing, and niche talent acquisition, placing candidates in roles such as Staff Accountants, AP/AR Specialists, Payroll professionals, Legal Assistants, Paralegals, and other essential positions.
Alexis is passionate about helping individuals recognize and reach their full potential. She takes a consultative, personalized approach with every candidate, using a thorough discovery process to understand their strengths and align them with meaningful opportunities exclusive to Marquee Staffing.