We are looking for an experienced Medical Collections Lead to join our team in Irvine, California. In this contract-to-permanent position, you will manage accounts receivable processes, ensure compliance with regulations, and maintain accurate documentation related to patient accounts. This role requires a detail-oriented individual with strong communication skills and expertise in medical collections systems and procedures. Responsibilities: • Manage accounts receivable tasks, including payment discrepancies, low reimbursements, and denied claims. • Analyze insurance Explanation of Benefits (EOBs) and initiate appeals to resolve payment issues. • Record detailed documentation of account issues, actions taken, and follow-up steps. • Prepare and distribute necessary documentation through printing and mailing processes. • Maintain accurate records of communications and actions for each patient account. • Stay informed about commercial and managed care pricing models, regulations, and compliance requirements. • Ensure confidentiality and compliance in handling patient information, adhering to organizational policies and applicable laws. • Participate in required training sessions and report any compliance concerns to management. • Perform additional tasks as requested by supervisors or management to support departmental needs.

• Proficiency in medical collections software such as Epic, IBM AS/400, and EHR systems. • Experience with appeals, billing functions, and claim administration processes. • Strong understanding of collection procedures and payment reconciliation. • Familiarity with tools like Accurint and Dynamic Data Exchange (DDE). • Excellent attention to detail and organizational skills for managing patient accounts. • Knowledge of compliance standards and confidentiality requirements in healthcare. • Effective communication skills for liaising with insurance providers and team members. • Ability to adapt to new systems and processes as required by the role.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. <a href="https://www.roberthalf.com/us/en/mobile-app" target="_blank">Download the Robert Half app</a> and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <a href="https://roberthalf.gobenefits.net/" target="_blank">roberthalf.gobenefits.net</a> for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to <a href="https://www.roberthalf.com/us/en/terms">Robert Half’s Terms of Use</a>.

Irvine, CA
onsite
Contract / Temporary to Hire
25.00 - 27.00 USD / Hourly
We are looking for an experienced Medical Collections Lead to join our team in Irvine, California. In this contract-to-permanent position, you will manage accounts receivable processes, ensure compliance with regulations, and maintain accurate documentation related to patient accounts. This role requires a detail-oriented individual with strong communication skills and expertise in medical collections systems and procedures. Responsibilities: • Manage accounts receivable tasks, including payment discrepancies, low reimbursements, and denied claims. • Analyze insurance Explanation of Benefits (EOBs) and initiate appeals to resolve payment issues. • Record detailed documentation of account issues, actions taken, and follow-up steps. • Prepare and distribute necessary documentation through printing and mailing processes. • Maintain accurate records of communications and actions for each patient account. • Stay informed about commercial and managed care pricing models, regulations, and compliance requirements. • Ensure confidentiality and compliance in handling patient information, adhering to organizational policies and applicable laws. • Participate in required training sessions and report any compliance concerns to management. • Perform additional tasks as requested by supervisors or management to support departmental needs.
2025-11-18T18:58:46Z