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12 results for Medical Collections Specialist in Fairfield, CA

Medical Collections Specialist

Sacramento, CA
onsite
Temporary to Hire
23 - 24 USD / Hourly
We are looking for a Medical Collections Specialist to join a healthcare team in Sacramento, California. This contract-to-permanent opportunity is ideal for someone who brings strong experience in insurance follow-up, denial resolution, and patient balance discussions within a high-volume revenue cycle environment. The role is onsite and focuses on reviewing claim outcomes, pursuing reimbursement, and helping ensure accounts are resolved accurately and efficiently. Responsibilities: • Review payer contracts and reimbursement terms to determine correct allowed amounts and identify underpayments. • Interpret Explanation of Benefits statements to evaluate claim decisions and confirm financial responsibility. • Investigate denied, delayed, or partially paid claims and take appropriate action to secure proper reimbursement. • Prepare clear, persuasive appeals that address payer findings and support claim reconsideration. • Communicate with insurance carriers to resolve billing discrepancies, payment issues, and adjudication concerns. • Speak with patients regarding outstanding balances, explaining how copays, deductibles, coinsurance, and out-of-pocket limits affect what they owe. • Maintain consistent follow-up on assigned accounts while meeting productivity expectations in a fast-moving workload. • Apply analytical judgment to determine the most effective next steps for account resolution and escalation when needed. • Collaborate with team members to support collection goals and maintain quality standards across account follow-up activities.
2026-07-08T00:00:00Z

Medical Biller/ Collections Specialist

Berkeley, CA
onsite
Temporary / Contract
30 - 36 USD / Hourly
Position: Medical Biller / Collections SpecialistLocation: Berkeley, CACompensation: $30–$36/hour (DOE)Job Type: Contract About the RoleWe are seeking a detail-oriented Medical Biller / Collections Specialist to support the revenue cycle operations of a healthcare organization in Berkeley. This role is responsible for insurance billing, accounts receivable follow-up, denial management, and collections activities to ensure timely reimbursement and account resolution. The ideal candidate has experience working with commercial insurance, Medicare, Medi-Cal, and managed care plans, along with a strong understanding of medical billing and collections processes. This contract opportunity is well suited for a results-driven professional who enjoys investigating claims, resolving payment issues, and improving revenue cycle performance.Responsibilities<ul><li>Submit, review, and process medical claims while ensuring compliance with payer requirements, coding guidelines, and billing regulations.</li><li>Manage accounts receivable follow-up by researching unpaid claims, identifying denial trends, and pursuing timely reimbursement from insurance carriers.</li><li>Resolve claim denials, rejections, underpayments, and billing discrepancies through appeals, corrections, and payer communication.</li><li>Post insurance and patient payments, reconcile accounts, and maintain accurate documentation within billing and practice management systems.</li><li>Communicate with patients, providers, insurance representatives, and internal departments regarding account balances, payment arrangements, and billing inquiries.</li></ul>
2026-07-02T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-07-06T00:00:00Z

Medical Payment Poster Specialist

Sacramento, CA
onsite
Temporary to Hire
22 - 24 USD / Hourly
We are looking for a Medical Payment Poster Specialist to join a healthcare revenue cycle team in Sacramento, California. This is a contract opportunity with the potential to become permanent, supporting in-office operations and ensuring accurate, timely posting of insurance and patient payments. The ideal candidate brings strong knowledge of medical billing processes, payment application, and account reconciliation, along with the ability to identify issues that require follow-up. Responsibilities: • Accurately apply insurance reimbursements to patient accounts at the line-item level within the designated billing platform. • Review posted payments against payer agreements and internal guidelines to confirm amounts are correct. • Record patient payments promptly and maintain complete account documentation. • Enter denials, zero-payment responses, and related adjustments, then alert the appropriate collections team member for further action. • Process takebacks and recoupments in accordance with established procedures and payer requirements. • Monitor payment activity for recurring issues such as underpayments or denial patterns and communicate findings to leadership. • Reconcile daily posted totals to settlement reports to ensure accuracy and resolve discrepancies quickly. • Direct payer correspondence and remittance-related documentation to the appropriate team members for next steps.
2026-07-09T00:00:00Z

Medical Claims Representative

Pleasanton, CA
onsite
Temporary to Hire
31.35 - 36.3 USD / Hourly
We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical claims, billing activity, and insurance-related documentation in a fast-paced environment. The person in this role will support accurate claim review and member-related processing while communicating clearly with Spanish-speaking members and internal teams. Success in this position requires strong knowledge of medical terminology, benefit plans, and claims administration procedures. Responsibilities: • Review, evaluate, and process medical claims with close attention to accuracy, completeness, and applicable coverage details. • Enter and maintain member, enrollment, beneficiary, and medical information within internal claims systems while following established procedures. • Verify insurance details and confirm benefit eligibility to support timely and correct claim handling. • Interpret billing information, coding details, and supporting documentation to determine appropriate claim outcomes. • Communicate with members, providers, and internal partners regarding claim status, required documentation, and benefit-related questions. • Assist Spanish-speaking members by providing clear and thorough support in both English and Spanish. • Apply working knowledge of healthcare benefits, policies, and regulatory guidelines when reviewing claim activity. • Escalate complex or legally sensitive claim matters to leadership when additional review or direction is needed.
2026-06-22T00:00:00Z

Medical Biller

Oakland, CA
onsite
Temporary / Contract
22 - 26 USD / Hourly
Job Title: Medical BillerJob Summary:The Medical Biller is responsible for preparing, submitting, and following up on medical claims to insurance companies, government payers, and patients to ensure accurate and timely reimbursement. Based on general knowledge.Key Responsibilities:<ul><li>Review patient records and billing information for accuracy and completeness. Based on general knowledge.</li><li>Prepare and submit medical claims to insurance carriers and other payers. Based on general knowledge.</li><li>Verify coding, charges, and supporting documentation before claim submission. Based on general knowledge.</li><li>Follow up on unpaid, denied, or rejected claims and resolve billing issues. Based on general knowledge.</li><li>Post payments, adjustments, and insurance remittances accurately. Based on general knowledge.</li><li>Communicate with insurance companies, patients, and internal staff regarding billing questions and account status. Based on general knowledge.</li><li>Maintain patient billing records and ensure compliance with privacy and billing regulations. Based on general knowledge.</li><li>Assist with account reconciliation, collections, and reporting as needed. Based on general knowledge.</li></ul>
2026-07-02T00:00:00Z

Inpatient Coding Specialist

Sacramento, CA
remote
Temporary / Contract
27 - 50 USD / Hourly
We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position based in Sacramento, California. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle. Responsibilities: • Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies. • Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly. • Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations. • Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment. • Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations. • Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes. • Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements. • Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work. • Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.
2026-07-08T00:00:00Z

Accounts Receivable Specialist

Oakland, CA
onsite
Permanent / Full Time
70000 - 77000 USD / Yearly
We are looking for an Accounts Receivable Specialist to support day-to-day accounting operations in Oakland, California. This position is focused on maintaining accurate payment activity, organizing financial documentation, and helping keep receivable processes current and compliant. The ideal candidate brings strong bookkeeping experience, attention to detail, and confidence handling transaction records in a fast-paced environment. Responsibilities:<ul><li>Track daily deposits by downloading bank reports, logging cash/check receipts, and entering details into internal systems</li><li>Assign payments to the correct projects and funding sources and notify stakeholders of deposits</li><li>Keep accurate, well-organized records of all receipts and transactions</li><li>Investigate unknown payments using internal tools and external platforms (e.g., PayPal Giving Fund, CyberGrants, Zeffy, Neon One)</li><li>Contact donors, partners, or teams to clarify missing details and resolve allocation issues</li><li>Monitor and clear unidentified receipts promptly</li><li>Reconcile cash activity weekly against bank records and monthly across platforms, bank data, and accounting systems</li><li>Review and resolve variances, escalating issues when needed</li><li>Prepare clean, validated data and backup for system uploads</li><li>Maintain tracking files for fundraising and payment platforms (e.g., Stripe, Square, Eventbrite, Benevity)</li><li>Support setup and testing of new payment tools</li><li>Provide accurate ACH and wire details to partners</li><li>Assist with AR by reviewing aging reports, applying payments, and supporting billing tasks</li><li>Respond to internal questions related to deposits and payment status</li><li>Follow established procedures and controls; help improve workflows</li><li>Keep thorough documentation for receipts, reconciliations, and research</li><li>Support audits by preparing reports and backup</li><li>Ensure all activity aligns with policies, agreements, and donor requirements</li></ul>
2026-07-10T00:00:00Z

Accounts Receivable Specialist

Concord, CA
onsite
Temporary / Contract
30 - 38 USD / Hourly
We are looking for an Accounts Receivable Specialist to support day-to-day receivables operations for a long-term contract opportunity in Concord, California. This position is ideal for someone with a solid background in billing, cash application, and commercial collections who can maintain accurate records while helping improve the flow of incoming payments. The role calls for strong attention to detail, sound judgment, and the ability to work effectively with internal teams and customers. Responsibilities: • Process customer invoices accurately and on schedule while ensuring billing records remain complete and up to date. • Apply incoming payments to the appropriate customer accounts and reconcile cash activity to maintain accurate account balances. • Follow up with commercial clients regarding outstanding balances and help reduce aged receivables through consistent collection efforts. • Review account discrepancies, research payment issues, and coordinate with internal departments to resolve billing or posting concerns. • Monitor daily receivables transactions and prepare clear documentation to support account activity and audit readiness. • Maintain organized records of remittance details, payment history, and collection communications for reference and reporting. • Assist with process updates or system-related changes affecting accounts receivable workflows as needed. • Support month-end activities by verifying receivables data and helping ensure reporting accuracy.
2026-07-09T00:00:00Z

Accounts Receivable Specialist

Pleasanton, CA
onsite
Permanent / Full Time
0 - 0 USD / Hourly
Robert Half is seeking an Accounts Receivable Clerk with some Accounts Payable experience to join our Full-Time Engagement Professionals team. In this role, you will support client projects by handling invoicing, cash applications, collections, payment processing, vendor invoices, and other day-to-day accounting operations. This opportunity offers the stability of full-time employment, exposure to a variety of client environments, and the chance to contribute to critical projects and interim needs. For more information, please contact Tawnia Kirshen via LinkedIn and send your resume to my email found there. Key Responsibilities:<ul><li>Process customer invoices, post payments, and apply cash accurately</li><li>Monitor aging reports and assist with collections follow-up</li><li>Reconcile accounts receivable transactions and resolve discrepancies</li><li>Support accounts payable functions, including invoice processing and vendor payments</li><li>Maintain accurate financial records and assist with month-end close activities</li><li>Provide general accounting and administrative support for client engagements</li></ul>
2026-07-02T00:00:00Z

Accounts Receivable Specialist

Concord, CA
onsite
Permanent / Full Time
0 - 0 USD / Hourly
Robert Half is seeking an Accounts Receivable Clerk with some Accounts Payable experience to join our Full-Time Engagement Professionals team. In this role, you will support client projects by handling invoicing, cash applications, collections, payment processing, vendor invoices, and other day-to-day accounting operations. This opportunity offers the stability of full-time employment, exposure to a variety of client environments, and the chance to contribute to critical projects and interim needs. For more information, please contact Tawnia Kirshen via LinkedIn and send your resume to my email found there. Key Responsibilities:<ul><li>Process customer invoices, post payments, and apply cash accurately</li><li>Monitor aging reports and assist with collections follow-up</li><li>Reconcile accounts receivable transactions and resolve discrepancies</li><li>Support accounts payable functions, including invoice processing and vendor payments</li><li>Maintain accurate financial records and assist with month-end close activities</li><li>Provide general accounting and administrative support for client engagements</li></ul>
2026-07-02T00:00:00Z

Accounts Receivable Specialist

Broderick, CA
onsite
Permanent / Full Time
26 - 30 USD / Hourly
Lisa Cole with Robert Half is looking for a detail-oriented and proactive Accounts Receivable and Inventory Specialist a great company near the West Sacramento area. This role is ideal for someone with a strong background in AR, excellent communication skills, and a passion for working in a fast-paced environment. If you are interested in this position, please call Lisa Cole at 916-649-0832 Responsibilities:<ul><li>Process and post incoming payments accurately and efficiently</li><li>Monitor customer accounts for delayed payments and follow up as needed</li><li>Reconcile AR transactions and resolve discrepancies</li><li>Generate and distribute invoices and account statements</li><li>Collaborate with internal teams to resolve billing issues</li><li>Maintain accurate records and documentation</li><li>Provide excellent customer service to clients regarding billing inquiries</li></ul>
2026-06-24T00:00:00Z