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 focuses on identifying talent for a variety of industries including medical devices, administrative support, customer service, engineering, and human resources. Graduating from The University of California, Irvine with a B.A. in Arts and Digital Media, Alexis’ recruiting career began in 2014 while staffing for assisted living facilities, where she matched passionate healthcare professionals to provide personal non-medical care for home care clients. Alexis is passionate about helping others recognize their potential, and does so by using a thorough discovery process with her candidates to better understand what areas they excel in and providing opportunities exclusive to Marquee Staffing.
While out of office, Alexis enjoys spending her free time with family and her six dogs.