Medical Collections Specialist
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, 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.
- 3-4 years of experience in medical revenue cycle management, including collections experience.
- MUST have experience using EHR system, experience with EPIC 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 withHMO, PPO, Medi-Cal, and Medicare
Note: This is not an entry-level position. Prior experience in medical billing/collections is required.
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:
- Health insurance coverage
- Retirement plan options with a match
- Generous Paid Time Off (PTO) and paid holidays
- Hybrid - 2 days in office
Meet Your Recruiter
Kierra Cormier
Recruiter, Healthcare Division
Kierra graduated with a master’s degree in Industrial and Organizational Psychology from the Chicago School of Professional Psychology. Prior to joining Marquee Staffing, Kierra excelled as a recruiter in the HVAC and Tech industries, where her talent acquisition strategies were rooted in a deep understanding of candidate behaviors and organizational fit.
At Marquee Staffing, Kierra specializes in healthcare staffing, connecting skilled professionals with roles in FQHCs, MSOs, Clinical Labs, and Private Practices. Her in-depth knowledge of the healthcare industry enables her to identify top talent for various positions, ensuring alignment with client needs and organizational goals.
Kierra is dedicated to delivering exceptional recruitment experiences, fostering positive outcomes for both candidates and clients. Her customer-focused approach drives her passion for creating meaningful connections and ensuring seamless placements.
Outside of work, Kierra enjoys traveling with friends and family, attending concerts and music festivals, and learning Korean. With over 19 years of soccer experience, she remains an avid player and enthusiast, often attending local matches.