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Medical Collections Specialis

Robert Half
Los Angeles, CA Per Diem
POSTED ON 8/5/2025 CLOSED ON 9/5/2025

What are the responsibilities and job description for the Medical Collections Specialis position at Robert Half?

A Hospital is looking for an experienced Medical Collections Specialist to join its Medical Revenue Cycle team. In this role, you will focus on managing insurance collections and claims for acute care facilities, ensuring accurate and timely processing of UB-04 forms.Responsibilities:• Oversee the collection process for medical insurance claims, including HMO and PPO plans.• Accurately process UB-04 claims for both inpatient and outpatient hospital services.• Investigate and resolve unpaid claims by following up with insurance providers.• Address payment denials and discrepancies through appeals and effective communication.• Collaborate with internal teams and external payers to ensure timely resolution of outstanding accounts.• Maintain compliance with insurance policies, hospital regulations, and industry standards.• Document claim statuses and updates in the designated systems with precision.• Support hospital revenue cycle activities by ensuring accurate billing and collections.

Salary : $25 - $29

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