Medical Collections Specialist

1 week ago


Los Angeles, California, United States Casa de la Familia Full time
Job Overview

Casa de la Familia is seeking a proficient and knowledgeable medical collections specialist who can consistently drive revenue through ethical billing practices and effective collection strategies. The ideal candidate will have a strong background in collections related to workers compensation and personal injury cases, particularly in negotiation and representation in legal settings.

Key Responsibilities

The medical collections specialist will be tasked with preparing and submitting patient invoices for both insurance and private payments. Acting as a liaison between patients and their health insurance providers, maintaining professionalism and compliance with all debt collection regulations is essential.

Responsibilities include managing billing and collections, addressing claim denials, overseeing patient accounts, and performing various administrative tasks. You will be responsible for all debt-related issues and will regularly communicate with insurance companies and patients to facilitate payment collection.

Specific Duties Include:

  • Preparation and submission of insurance claims
  • Determining, correcting, and submitting billable claims
  • Processing accounts
  • Analyzing information
  • Verifying authorization and diagnosis codes
  • Preparing batches for posting
  • Generating and reviewing reports
  • Managing patient accounts
  • Appealing denied claims
  • Responding to patient inquiries regarding insurance coverage and benefits
  • Establishing repayment plans with patients in arrears
  • Contacting insurance billing departments to rectify billing discrepancies

Qualifications

The successful candidate should possess the following skills and qualifications:

  • Understanding of medical terminology
  • Knowledge of legal compliance
  • Strong documentation abilities
  • Experience in accounts receivable and payable
  • Familiarity with medical billing software
  • Knowledge of Explanation of Benefits (EOB)
  • Understanding of various insurance plans, including Medicare
  • Strong organizational skills and attention to detail
  • Excellent communication skills, particularly over the phone
  • Exceptional negotiation capabilities
  • Ability to thrive in a high-pressure environment
  • High school diploma or GED required
  • Preferred: College degree
  • Required: Prior experience in medical billing and collections


  • Los Angeles, California, United States Jobot Full time

    Job SummaryWe are seeking a highly motivated and experienced Consulting Hospital Medical Collections professional to join our dynamic team at Jobot. In this role, you will be responsible for managing and overseeing the collection of outstanding debts from patients and insurance companies.Key ResponsibilitiesManage and oversee the entire collections process,...


  • Los Angeles, California, United States Careers@Gov Full time

    About the RoleWe are seeking a highly motivated and detail-oriented individual to join our Blood Resources Division as a Senior Blood Collection Specialist. As a key member of our team, you will play a critical role in securing the nation's blood supply by ensuring a safe and adequate blood supply for public and private hospitals.Key ResponsibilitiesProvide...


  • Los Angeles, California, United States JLL Full time

    About the RoleWe are seeking a highly skilled Data Collection Specialist to join our team at JLL. As a Data Collection Specialist, you will be responsible for performing information gathering for data analytics, including asset tagging and data collection.Key ResponsibilitiesConduct walk-through surveys to assess the condition of properties.Perform data...


  • Los Angeles, California, United States JWCH Institute Full time

    Job SummaryThe JWCH Institute is seeking a highly skilled Billing and Collection Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for performing a variety of complex billing and collection functions.Key ResponsibilitiesThird-Party Billing and Collections: Maintain and resolve third-party billing and collections,...


  • Los Angeles, California, United States Careers@Gov Full time

    About the Health Sciences Authority (HSA)The Health Sciences Authority (HSA) operates as a statutory board under the Ministry of Health, tasked with the regulation of health products, the administration of justice, the safeguarding of the nation's blood supply, and the enhancement of public health.About Blood Services at HSAOur mission is to guarantee a safe...


  • Los Angeles, California, United States Insight Global Full time

    Position Overview:Insight Global is seeking a fully remote Senior Billing and Collections Specialist to join our dynamic team. This role is open to candidates residing in select states. Key Responsibilities:The selected candidate will be instrumental in managing the reimbursement process for claims submitted to various insurance providers. A strong...


  • Los Angeles, California, United States PuroClean Certified Restoration Specialist of Auburn Full time

    Job SummaryWe are seeking a highly skilled Game Support Specialist to join our team at PuroClean Certified Restoration Specialist of Auburn. As a key member of our customer experience team, you will be responsible for delivering exceptional support to our players and ensuring a seamless gaming experience.Key ResponsibilitiesCustomer Support: Provide...


  • Los Angeles, California, United States Medical Professionals Full time

    We are seeking a dedicated and compassionate Medical Support Specialist to join our team at Medical Professionals. As a Medical Support Specialist, you will play a vital role in providing high-quality patient care and supporting our medical team.Key Responsibilities:Assist physicians with procedures, examinations, and treatments in a fast-paced medical...


  • Los Angeles, California, United States Lucas Museum Full time

    ABOUT THE LUCAS MUSEUM OF NARRATIVE ARTThe Lucas Museum of Narrative Art is pioneering the exploration of storytelling through visual mediums. As the first institution dedicated solely to this art form, we aim to foster connections and contribute to a more equitable society through the power of images.Our expanding collection includes diverse artworks from...


  • Los Angeles, California, United States Lucas Museum Full time

    ABOUT THE LUCAS MUSEUM OF NARRATIVE ARTThe Lucas Museum of Narrative Art is pioneering in its dedication to storytelling through visual mediums. It aims to foster connections through images and promote a more equitable society. With a diverse collection that spans various cultures, periods, and artistic forms—including paintings, sculptures, photography,...


  • Los Angeles, California, United States PuroClean Certified Restoration Specialist of Auburn Full time

    Job SummaryWe are seeking a highly skilled Game Support Specialist to join our team at PuroClean Certified Restoration Specialist of Auburn. As a key member of our support team, you will be responsible for delivering exceptional player experiences and ensuring the highest quality gaming experience.Key ResponsibilitiesPlayer Support: Provide top-notch support...


  • Los Angeles, California, United States Vaco Full time

    Vaco Los Angeles is seeking a skilled and dedicated Credit and Collections Specialist to become a vital part of our client's dynamic accounting team. A foundational knowledge of accounting principles, standard accounts receivable practices, and payment processing is crucial. The ideal candidate should exhibit a strong desire to learn and develop...


  • Los Angeles, California, United States J. Paul Getty Full time

    About the RoleWe are seeking a highly skilled and experienced professional to join our team as an Assistant Curator of Paintings. This is an exciting opportunity to work with a world-renowned museum and contribute to the development of our painting collection.Key ResponsibilitiesConduct research and analysis to identify and acquire new works of art for the...


  • Los Angeles, California, United States Vaco Full time

    Vaco Los Angeles is seeking a skilled and knowledgeable Credit Management Specialist to become a vital part of our client's dynamic accounting team. A fundamental grasp of accounting principles, standard accounts receivable practices, payment processing, and a proactive mindset are crucial. The perfect candidate will demonstrate a desire to learn and advance...


  • Los Angeles, California, United States Altais Health Solutions Full time

    About the RoleWe are seeking a highly skilled Medical Assistant Specialist to join our team at Altais Health Solutions. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and contributing to the success of our dynamic clinic team.Key ResponsibilitiesRegistration and Scheduling: Register patients, verify...


  • Los Angeles, California, United States California Hospital Medical Center Full time

    About the RoleThe Patient Registration Representative plays a pivotal part in ensuring a positive patient experience during the registration process at California Hospital Medical Center. Key responsibilities include:Accurately identifying patients and verifying their demographic informationCollecting and processing patient data, including insurance...


  • Los Angeles, California, United States PIH Health Full time

    About PIH Health PIH Health is a nonprofit healthcare organization dedicated to serving approximately 3 million residents in the Los Angeles County, Orange County, and San Gabriel Valley region. Our integrated network includes PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, and numerous outpatient medical...

  • Labor Attorney

    6 days ago


    Los Angeles, California, United States Directors Guild of America Full time

    About the RoleThe Directors Guild of America (DGA) is seeking a highly skilled Labor Attorney to join its Legal Department. As a key member of the team, you will be responsible for enforcing the DGA's collective bargaining agreements through arbitration, researching and analyzing complex labor law issues, and providing guidance to various departments within...


  • Los Angeles, California, United States MedChi, The Maryland State Medical Society Full time

    About MedChi, The Maryland State Medical SocietyMedChi is a physician-led organization committed to enhancing the practice of medicine and improving patient care through advocacy, education, and support. Role OverviewAs a Medical Retina Specialist, you will be integral in providing exceptional care to patients with retinal diseases. Your expertise will...


  • Los Angeles, California, United States MedChi, The Maryland State Medical Society Full time

    About MedChi, The Maryland State Medical SocietyMedChi is a physician-led organization dedicated to supporting healthcare professionals in their mission to provide exceptional patient care. Our commitment to a patient-focused and evidence-driven approach ensures that our physicians have the tools and support necessary to excel in their practice. Role...