<p>A Medical Company in Los Angeles is in the need of a Medical Collector. The Medical Collector must be fluent in Spanish with prior medical collections experience—surgical billing/collections a strong plus.</p><p>Key Responsibilities:</p><ul><li>Manage and resolve outstanding insurance and patient accounts, ensuring timely payment and accurate account status updates.</li><li>Utilize knowledge of the revenue cycle and medical billing processes, with an emphasis on surgical claims when possible.</li><li>Communicate efficiently—via phone and email—in both English and Spanish with patients, insurance representatives, and internal teams.</li><li>Review Explanation of Benefits (EOBs), claim denials, and remittance advice to determine next action steps.</li><li>Initiate appeals, payment negotiations, and follow-up on unresolved accounts.</li><li>Maintain detailed account notes in patient records and collection systems.</li><li>Collaborate professionally with billing, front-office, and clinical teams to provide seamless service.</li></ul><p><br></p>
<p>Join our team as a Medical Collector I and play a crucial role in our revenue cycle operations. The Medical Collector will be the go-to specialist for managing outstanding insurance claims, navigating denials, and ensuring timely and accurate reimbursements. This is a dedicated collections role requiring persistence, attention to detail, and excellent communication as you collaborate with a talented healthcare billing team onsite.</p><p><strong>Key Responsibilities</strong></p><ul><li>Proactively follow up on outstanding insurance claims to secure accurate and prompt payment.</li><li>Investigate denials, prepare and submit persuasive appeals.</li><li>Research and resolve claim rejections and billing discrepancies.</li><li>Manage collections activity for various payer types, including:</li><li>Medicare</li><li>PPO</li><li>HMO</li><li>Workers’ Compensation</li><li>Lien cases</li><li>Review aging reports to identify, prioritize, and follow up on aged accounts.</li><li>Accurately document all collection activities and follow-ups in the billing system.</li><li>Communicate professionally with insurance representatives to resolve payment issues.</li><li>Field inbound patient calls regarding statements and billing inquiries, providing clear and courteous support.</li><li>Partner with internal billing and coding teams to resolve complex claim matters.</li><li>Consistently meet or exceed established productivity and quality standards.</li></ul><p><br></p>
<p>We are looking for a dedicated Bilingual Case Manager to join our team in Los Angeles, California. In this long-term contract role, you will play a vital part in supporting program participants and providers, ensuring the smooth operation of administrative processes. This position offers an excellent opportunity to enhance your attention to detail while contributing to meaningful projects.</p><p><br></p><p>Responsibilities:</p><p>• Recruit participants and providers to successfully meet program goals.</p><p>• Organize and oversee special projects as directed by supervisors, ensuring timely completion.</p><p>• Manage enrollment, certification, and re-certification processes for program participants.</p><p>• Conduct audits of parent and provider files to ensure compliance and accuracy.</p><p>• Assist participants in resolving challenges related to employers, schools, children, and providers.</p><p>• Maintain and update contracts, forms, records, and reports for program participants and providers.</p><p>• Coordinate parent education initiatives and foster parent involvement in program activities.</p><p>• Ensure adherence to Community Care Licensing regulations and program-specific contractual requirements.</p><p>• Participate in departmental and agency meetings, workshops, and conferences to support the development of attention to detail.</p><p>• Refer enhanced cases to appropriate departments or resources for additional support.</p>
