Medical Collections Specialist

3 weeks ago


Costa Mesa, United States Peregrine Team Full time
Job DescriptionJob Description

Peregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.  

$26 - $32/hour

Job Duties: 

  • The Collector serves as the account representative for the hospital in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution.

  • Completes assigned accounts within assigned work queues.

  • Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG).

  • Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to the hospital.

  • Reviews and completes payor and/or patient correspondence in a timely manner.

  • Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments.

  • Reports new/unknown billing edits to direct supervisor for review and resolution.

  • Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections), including procedures and policies.

  • Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements.

  • Interprets Explanation of Benefits (EOBs) and Electronic Admittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of benefit plans.

  • Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange),   capitation,commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.

  • Demonstrates knowledge of and effectively uses patient accounting systems.

  • Documents all calls and actions taken in the appropriate systems.

  • Accurately codes insurance plan codes.

  • Establishes a payment arrangement when patients are unable to pay in full at the time payment is due.

  • May review for applicable cash rates, special rates, applicable professional and employee discounts.

  • May process bankruptcy and deceased patient accounts. Performs other duties as assigned.

Qualifications: 

  • High school diploma or equivalent - Required
  • One year of previous hospital business experience, or equivalent required or strong background in customer service - Required
  • Basic experience with insurance plans, hospital reimbursement methodology, and/or ICD10 and CPT coding - Required
  • Medical billing collector experience and excellent customer service skills - Required
  • Experience with EPIC - Required
  • Shift: 40 hours- 5x8

Email your resume to careers@PeregrineTeam.com ASAP or apply here for consideration. 

Powered by JazzHR

A4TxsSYaWJ



  • Costa Mesa, United States Peregrine Team Full time

    Peregrine Team is hiring for a Medical Billing and Collections Specialist in Costa Mesa, CA. This position is a full-time, contract role with full benefits and competitive pay. **Job Duties**: - The Medical Billing and Collections Specialist serves as the account representative for the hospital in working with insurance companies,government payors, and/or...


  • Costa Mesa, United States VQ Orthocare Full time

    Job DescriptionJob DescriptionThis is an in-office full time position, please do not apply if your are only seeking a remote of hybrid roleSummary: The Medical Collections Representative is responsible for facilitating the collection of accounts receivable, applying payments to customer’s accounts, negotiating settlements, and maintaining accounts...


  • Costa Mesa, United States Peregrine Team Full time

    Job DescriptionJob DescriptionPeregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.  $26 - $32/hourJob Duties: The Collector serves as the account representative for the hospital in working with insurance companies, government payors, and/or patients for resolution of payments and...


  • Costa Mesa, United States Peregrine Team Full time

    Peregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with full benefits and competitive pay. **Job Duties**: - The Collector serves as the account representative for the hospital in working with insurance companies,government payors, and/or patients for resolution of payments and accounts resolution. -...


  • Mesa, United States TTF Recruitment Full time

    TTF is recruiting for an EXPERIENCED A/R Representative in the Mesa area. The starting pay is $18.00-$21.00per hour, DOE. This is a full-time, Monday-Friday position, working 8:30am-5:00pm. Qualified candidates must have experience with medical billing, physician collection, claim denials, and claim resubmissions in a high-volume healthcare setting for...


  • Mesa, United States RAINFOREST PLUMBING & AIR Full time

    Rainforest Plumbing & Air is a dynamic and growing Plumbing and HVAC company dedicated to providing 5-Star services to our clients. We pride ourselves on our commitment to excellence, innovation, and creating a positive work environment for our employees. When you work with a dynamic team that leads in the HVAC and Plumbing industry, you can start enjoying...


  • Costa Mesa, United States VQ OrthoCare Full time

    **Essential Duties and Responsibilities**: - Answer accounts receivable telephone inquiries and follow up. - Respond to mail correspondence, mail determinations, Explanation of Benefits, or requests for information from payors. - Call and/or mail correspondence to customers, as necessary, in order to update accounts. - Call and/or mail correspondence to...


  • Mesa, United States United Surgical Partners International Inc (USPI) Full time

    **Arizona Spine and Joint Hospital **is looking for an experienced **Insurance Verification and Collections Specialist**. **Arizona Spine and Joint Hospital** is a physician owned surgical hospital specializing in Orthopedic surgeries. Under the direction of the Business Office Manager, the **Insurance Verification and Collections Specialist **will be...


  • Mesa, United States RM Interiors & Design Full time

    RM Interiors and Design specialize in national flooring solutions for: REIT, iBuys, Property Management, General Contractors, Commercial and Hospitality Properties. The Collections Specialist helps in achieving RM Interior’s financial goals. This position will need to be able to work as part of a dynamic team and in an environment where work assignments...

  • Medical Coder Iii

    2 weeks ago


    Costa Mesa, United States Efficus inc Full time

    Overview: **Duties**: - Assign appropriate medical codes to diagnoses and procedures - Review and analyze patient health records - Ensure accuracy and compliance with coding guidelines - Collaborate with healthcare providers to clarify information - Assist in medical collection processes - Utilize various coding systems effectively **Requirements**: -...

  • Collection Specialist

    2 months ago


    Mesa, United States Satellite Healthcare, Inc Full time

    **The Collections Specialist **ensures that all collection activity is performed and completed accurately. This position is responsible for timely filing and following up with insurance payors on submitted claims that have not been paid so as to have a fluent revenue cycle. **Essential Functions**: - Review, understand, and work unpaid and denied claims...


  • Costa Mesa, United States Benrich Service Company Inc Full time

    Job DescriptionJob DescriptionCOLLECTIONS REPRESENTATIVEBenrich Service Company, the leader in the service industry, currently has an opening for a Collections Representative to join our team. Benrich is a family business, established in 1962, providing commercial services in water heating, plumbing, water treatment and HVAC.SKILLS & REQUIREMENTS:Monitor...


  • Costa Mesa, United States Benrich Service Company Inc Full time

    Job DescriptionJob DescriptionCOLLECTIONS REPRESENTATIVEBenrich Service Company, the leader in the service industry, currently has an opening for a Collections Representative to join our team. Benrich is a family business, established in 1962, providing commercial services in water heating, plumbing, water treatment and HVAC.SKILLS & REQUIREMENTS:Monitor...


  • Mesa, United States FDR Alliance USA Full time

    Come join us at FDR Alliance as we open our new call center. We are here to help consumers resolve their outstanding account balance and have a positive impact on their credit worthiness. We provide financial literacy resources and using technology to empower consumers to overcome debt and create a brighter solution. We are hiring both experienced and entry...

  • Debt Specialist

    1 day ago


    Costa Mesa, United States Swift Debt Relief Full time

    **About us** Swift Debt Relief is a small business in Costa Mesa, CA. We are professional, agile and our goal is to ethically assist our fellow Americans get out of crippling debt while saving them money and protecting their long term credit health.. Our work environment includes: - Modern office setting - Food provided - Modern office setting - Growth...


  • Mesa, United States The FDR Group of Companies Full time

    Job DescriptionJob DescriptionCome join us at FDR Alliance Mesa location!We are here to help consumers resolve their outstanding account balance and have a positive impact on their credit worthiness. We provide financial literacy resources and using technology to empower consumers to overcome debt and create a brighter solution. We are hiring both...


  • Mesa, United States The FDR Group of Companies Full time

    Job DescriptionJob DescriptionCome join us at FDR Alliance Mesa location!We are here to help consumers resolve their outstanding account balance and have a positive impact on their credit worthiness. We provide financial literacy resources and using technology to empower consumers to overcome debt and create a brighter solution. We are hiring both...


  • Costa Mesa, United States Tree House Recovery Full time

    **SUMMARY**: A Tree House Recovery(THR) **Admissions Specialist **position combines elements of sales, customer service, and counseling to guide individuals seeking treatment through the admissions process.Is responsible for fielding treatment inquiries (TI’s), calling customers, and performing activities to promote the addiction treatment services of Tree...


  • Costa Mesa, United States Ameris Bank Full time

    Balboa Capital, a division of Ameris Bank, is a technology-driven business lender that uses innovative online tools and technology to change the way small businesses secure financing, and we are looking for talented, motivated individuals to join our team. If you embrace technology and have a desire to work at a dynamic company with a diverse group of highly...

  • Payment Poster

    3 weeks ago


    Costa Mesa, United States Global IT Resources Full time

    3 Month assignment with possibility to extend. Experience in Medical Collections/Billing -Experience with Affinity, Chartmaxx, MedAssets, and/or Emdeon Job Summary: - The Payment Poster & Research Specialist is responsible for the posting and reconciliation of all electronic and manual insurance payments and patient payments. - This position works with...