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Medical Collections Lead
We are looking for a skilled Medical Collections Lead to join our team in Irvine, California. This contract-to-permanent position requires a proactive individual with expertise in managing accounts receivable and resolving insurance claim issues. The ideal candidate will demonstrate strong communication skills, attention to detail, and a commitment to compliance within the healthcare industry.<br><br>Responsibilities:<br>• Manage the accounts receivable process by monitoring payments, addressing errors, and resolving reimbursement issues.<br>• Investigate and follow up on insurance denials, initiating appeals when necessary.<br>• Analyze insurance Explanation of Benefits (EOBs) and document all actions and resolutions in patient accounts.<br>• Prepare and distribute necessary documentation, ensuring timely and accurate communication.<br>• Maintain comprehensive records of account activities and correspondence.<br>• Stay informed about commercial and managed care pricing policies, ensuring compliance with relevant rules and regulations.<br>• Uphold confidentiality standards and handle patient information in accordance with organizational and legal requirements.<br>• Participate in required training and report any compliance concerns to management.<br>• Assist with additional tasks as assigned by supervisors or management.<br>• Support the organization’s compliance initiatives by adhering to established policies and procedures.
• Proficiency in medical collections processes, including appeals and claim administration.<br>• Familiarity with EHR systems and medical billing software such as Epic and IBM AS/400.<br>• Experience with tools like Accurint and Dynamic Data Exchange (DDE).<br>• Strong understanding of collection procedures and insurance reimbursement workflows.<br>• Ability to interpret and analyze Explanation of Benefits (EOBs).<br>• Excellent organizational skills and attention to detail for maintaining accurate records.<br>• Knowledge of healthcare compliance regulations and patient confidentiality obligations.<br>• Effective communication skills to coordinate with insurance companies and internal teams.
<p>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.</p> <p>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.</p> <p>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.</p> <p>© 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>.</p>
  • Irvine, CA
  • onsite
  • Contract / Temporary to Hire
  • 26.00 - 31.00 USD / Hourly
  • We are looking for a skilled Medical Collections Lead to join our team in Irvine, California. This contract-to-permanent position requires a proactive individual with expertise in managing accounts receivable and resolving insurance claim issues. The ideal candidate will demonstrate strong communication skills, attention to detail, and a commitment to compliance within the healthcare industry.<br><br>Responsibilities:<br>• Manage the accounts receivable process by monitoring payments, addressing errors, and resolving reimbursement issues.<br>• Investigate and follow up on insurance denials, initiating appeals when necessary.<br>• Analyze insurance Explanation of Benefits (EOBs) and document all actions and resolutions in patient accounts.<br>• Prepare and distribute necessary documentation, ensuring timely and accurate communication.<br>• Maintain comprehensive records of account activities and correspondence.<br>• Stay informed about commercial and managed care pricing policies, ensuring compliance with relevant rules and regulations.<br>• Uphold confidentiality standards and handle patient information in accordance with organizational and legal requirements.<br>• Participate in required training and report any compliance concerns to management.<br>• Assist with additional tasks as assigned by supervisors or management.<br>• Support the organization’s compliance initiatives by adhering to established policies and procedures.
  • 2025-11-21T23:14:06Z

Medical Collections Lead Job in Irvine | Robert Half