1 result for Records Specialist in Davis, CA

Medical Collections Specialist

Sacramento, CA
onsite
Contract / Temporary to Hire
21 - 23 USD / Hourly
We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance. Responsibilities: • Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication. • Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability. • Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution. • Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities. • Draft compelling appeals to challenge claim denials and secure appropriate reimbursements. • Maintain a thorough understanding of various insurance products, including Medicare Advantage plans. • Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals. • Collaborate with team members to handle complex claims and develop effective solutions. • Utilize analytical skills to make informed decisions on resolving claims and account discrepancies. • Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
2026-03-21T00:00:00Z