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3 results for Records Specialist in El Segundo, CA

Hospital Medical Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
24 - 31.7 USD / Hourly
We are looking for a Hospital Medical Collections Specialist to join a healthcare organization in the San Fernando Valley. The Hospital Medical Collections Specialist supports the revenue cycle by following up on outstanding hospital accounts, resolving payer issues, and helping improve reimbursement outcomes across inpatient and outpatient services. The Hospital Medical Collections Specialist must bring strong hospital billing and collections experience, along with a working knowledge of managed care, government, and commercial insurance plans. Responsibilities:• Pursue payment on outstanding hospital claims by reviewing account status, contacting payers, and addressing barriers that delay reimbursement.• Investigate denials, underpayments, and rejected claims, then take appropriate action through corrections, reconsiderations, or formal appeals.• Manage collections activity across a range of hospital accounts, including inpatient and outpatient balances tied to commercial and managed care plans.• Work through payer-specific requirements for Medicare managed care, Medi-Cal managed care, PPO, HMO, and other commercial coverage types to secure accurate payment.• Document follow-up activity thoroughly and maintain organized account notes to support timely resolution and audit readiness.• Partner with internal revenue cycle and billing teams to clarify account issues, correct claim data, and reduce preventable payment delays.• Review aging accounts to prioritize high-impact follow-up and escalate complex reimbursement issues when needed.• Contribute to onboarding and knowledge-sharing efforts for entry-level collection staff as needed.
2026-07-17T00:00:00Z

Hospital Admitting Specialist

Tustin, CA
onsite
Temporary / Contract
25 - 29 USD / Hourly
A Hospital in Tustin is in the need of Hospital Admitting Specialist to its Emergency Department team. The Hospital Admitting Specialist will play a pivotal role in ensuring patients are registered efficiently and accurately during critical moments. The Hospital Admitting Specialist will be tasked with admitting patients, collecting demographics and insurance information. This role requires strong communication skills, empathy, and the ability to thrive in a fast-paced healthcare environment. Responsibilities:• Welcome patients and their families to the Emergency Department with professionalism and empathy.• Collect and validate patient demographic and insurance information to ensure accuracy.• Obtain and securely scan necessary documents, including identification and insurance cards.• Explain financial responsibilities such as co-payments and assist patients with payment collection.• Accurately input patient data into the electronic health record system.• Collaborate with clinical staff to facilitate smooth patient flow and minimize delays.• Address patient and visitor inquiries with a calm and supportive demeanor.• Adhere to hospital policies and maintain compliance with organizational standards.• Perform additional administrative tasks as required to support the department. Schedule: 40 hours/week; rotating weekendsShift: 2:00pm – 10:30pm
2026-07-02T00:00:00Z

Medical Insurance Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
24.01 - 30.8 USD / Hourly
Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts. In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.What You’ll Do<ul><li>Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement.</li><li>Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products.</li><li>Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation.</li><li>Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines.</li><li>Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions.</li><li>Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps.</li><li>Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance.</li><li>Adapt to department workflows and support Collector I-level processes and training initiatives as needed.</li></ul>What We’re Looking For<ul><li>Proven experience in hospital billing and medical collections within an acute care or healthcare revenue cycle environment.</li><li>Strong understanding of managed care plans, denial management, appeals, and payer follow-up processes.</li><li>Experience working with inpatient and outpatient hospital claims.</li><li>Excellent analytical, communication, and problem-solving skills.</li><li>Ability to prioritize workload, meet deadlines, and work efficiently in a high-volume environment.</li><li>Strong attention to detail and commitment to accuracy.</li></ul>
2026-07-17T00:00:00Z