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9 results for Medical Collections Specialist in Fallbrook, CA

Medical Claims Examiner

San Bernardino, CA
onsite
Temporary to Hire
25.01 - 33.67 USD / Hourly
A Medical Claims Organizations is in the immediate need of Medical Claims Examiner with experience in grievances and appeals to join the team. The Medical Claims Examiner is responsible for reviewing, investigating, and resolving member and provider grievances and appeals in compliance with regulatory requirements and internal policies. The Medical Claims Examine candidate will have hands-on experience working within EZ-CAP and a solid understanding of health plan operations. Key Responsibilities: <ul><li>Review, research, and process member and provider grievances and appeals accurately and within required turnaround times</li><li>Use EZ-CAP to document, track, and manage case activity</li><li>Analyze case details, benefits, claims, authorizations, and supporting documentation to determine appropriate resolutions</li><li>Ensure all grievances and appeals are handled in accordance with health plan policies, CMS, DMHC, and other applicable regulatory guidelines</li><li>Communicate with internal departments, providers, and members regarding case status and resolution</li><li>Prepare written correspondence for grievance and appeal determinations</li><li>Maintain complete, accurate, and audit-ready documentation</li><li>Identify trends or recurring issues and escalate as needed</li></ul>
2026-09-14T00:00:00Z

Medical Claims Examiner

San Bernardino, CA
onsite
Temporary / Contract
26 - 33 USD / Hourly
We are seeking a detail-oriented Medical Claims Examiner to join our team. In this role, you will review, analyze, and process medical claims accurately and efficiently while ensuring compliance with company policies, client requirements, and regulatory guidelines. The ideal candidate will have strong knowledge of claims adjudication, medical terminology, and healthcare insurance processes. Experience with EZ-CAP is a plus, and grievances experience is highly preferred.Key Responsibilities:<ul><li>Review and process medical claims for accuracy, completeness, and eligibility</li><li>Analyze claims to determine coverage, payment, and denial outcomes</li><li>Research and resolve claim discrepancies, adjustments, and pended claims</li><li>Interpret provider contracts, benefit plans, and reimbursement guidelines</li><li>Ensure timely adjudication of claims in accordance with turnaround standards</li><li>Investigate and respond to inquiries related to claims status, denials, and escalations</li><li>Maintain accurate documentation of claim actions and decisions</li><li>Collaborate with internal departments, providers, and health plan representatives to resolve complex claims issues</li><li>Assist with appeals and grievance-related cases as needed</li><li>Stay current on policies, procedures, and regulatory requirements affecting claims processing</li></ul>
2026-09-14T00:00:00Z

Collections Specialist

Orange, CA
onsite
Temporary to Hire
25 - 27 USD / Hourly
We are looking for a Collections Specialist to join a growing organization in Orange, California on a contract basis with the potential for a permanent position. This position supports the accounts receivable function by helping maintain healthy cash flow, addressing overdue balances, and partnering with internal teams to resolve billing concerns. The ideal candidate brings strong follow-through, sound judgment, and the ability to communicate effectively with clients while managing multiple priorities in a fast-moving environment. Responsibilities: • Review outstanding customer balances, prioritize follow-up activity, and communicate with clients to secure timely payment. • Investigate billing variances, partial payments, and disputed charges by coordinating with internal partners such as billing and customer-facing teams. • Keep thorough documentation of account status, collection outreach, promised payment dates, and issue resolution progress. • Analyze aging information and provide regular updates on delinquent accounts, collection trends, and recovery expectations to leadership. • Take action on open receivables to help shorten payment cycles and improve overall accounts receivable performance. • Assist with applying incoming payments and reconciling account activity when support is needed across the receivables process. • Contribute to month-end activities by sharing account updates and expected collections tied to overdue balances. • Handle customer interactions with professionalism and a service-minded approach while working toward payment resolution.
2026-09-19T00:00:00Z

Accounts Receivable Specialist

San Marcos, CA
onsite
Temporary / Contract
28 - 32 USD / Hourly
A growing healthcare organization is looking for an experienced Accounts Receivable Specialist to help manage a high-volume receivables portfolio. This is a great opportunity for someone who enjoys combining account reconciliation, payment research, collections, and problem-solving in a fast-paced environment.You'll work closely with billing, finance, patient/customer service, and operations teams to keep accounts accurate and resolve issues that may delay payment.What You'll Do<ul><li>Manage a portfolio of outstanding receivable accounts</li><li>Review aging reports and prioritize collection activity</li><li>Post and reconcile incoming payments</li><li>Research unapplied cash, short payments, and account discrepancies</li><li>Follow up on outstanding balances through phone and email</li><li>Investigate billing discrepancies and coordinate corrections</li><li>Prepare account statements and supporting documentation</li><li>Work with internal teams to resolve invoice and payment issues</li><li>Process credits, adjustments, and write-offs according to company procedures</li><li>Reconcile AR subledger activity to the general ledger</li><li>Assist with month-end close and AR reporting</li><li>Monitor customer payment trends</li><li>Maintain detailed collection notes and account documentation</li><li>Assist with audit requests and special projects</li></ul>
2026-09-15T00:00:00Z

Accounts Receivable Specialist

Fountain Valley, CA
onsite
Temporary / Contract
25.3365 - 32 USD / Hourly
We are looking for an Accounts Receivable Specialist to support contract-based collections and customer account follow-up efforts in Fountain Valley, California. This Contract position is ideal for someone who can communicate confidently with business contacts, manage outreach with consistency, and keep account records accurate and up to date. The person in this role will help strengthen receivable recovery activities while contributing to more efficient collection workflows and internal coordination. Responsibilities: • Manage outreach to business contacts and organizational decision-makers to address past-due accounts and encourage timely payment. • Review daily receivable activity and determine which accounts require immediate follow-up based on balance status and aging. • Place outbound calls and send written follow-up communications to resolve outstanding invoices and support collection goals. • Record customer conversations, payment updates, and account actions in Google Sheets and related tracking documents. • Maintain organized account notes so that all collection activity is clearly documented and easy to reference. • Work closely with leadership to identify patterns, improve follow-up methods, and strengthen recovery results. • Help refine collection procedures and communication workflows to improve efficiency and consistency across account management efforts.
2026-09-18T00:00:00Z

Accounts Receivable Specialist

Dana Point, CA
onsite
Temporary / Contract
25.3365 - 32 USD / Hourly
We are looking for an Accounts Receivable Specialist to join a team in Mission Viejo on a Contract to Permanent basis. This opportunity is ideal for someone who is highly organized, comfortable handling financial records, and confident working with customer accounts in a fast-paced setting. The role focuses on maintaining accurate receivables activity, supporting billing and payment processes, and ensuring customer information is recorded correctly. Responsibilities:• Establish and maintain job records within the company system with close attention to accuracy and completeness.• Apply incoming payments to the appropriate customer accounts and reconcile cash activity in a timely manner.• Create and update customer profiles to ensure billing and account information remains current.• Perform high-volume data entry related to receivables, payments, and account documentation.• Support billing operations by preparing, reviewing, and processing account-related transactions.• Monitor outstanding balances and assist with commercial collections efforts to encourage prompt payment.• Recent QuickBooks Enterprise and/or QuickBooks Online to manage receivables activity and maintain financial records is required.
2026-09-18T00:00:00Z

Accounts Receivable Specialist

Carlsbad, CA
onsite
Temporary / Contract
30 - 33 USD / Hourly
A well-established commercial real estate company is adding an Accounts Receivable Specialist to its accounting team. This role will support a portfolio of properties and requires someone who is comfortable balancing detailed accounting work with regular communication with tenants, property managers, and vendors.This is an excellent opportunity for someone who wants to move beyond transactional AR and gain exposure to property accounting and real estate operations. Key Responsibilities<ul><li>Manage receivables for an assigned portfolio of properties</li><li>Prepare and review recurring tenant invoices</li><li>Post daily rent and other tenant payments</li><li>Monitor tenant aging and outstanding balances</li><li>Reconcile tenant accounts and monthly statements</li><li>Research discrepancies between leases, invoices, and payments</li><li>Process credits, adjustments, and account corrections</li><li>Communicate with tenants regarding outstanding balances</li><li>Partner with property managers to resolve billing issues</li><li>Track delinquent accounts and collection activity</li><li>Research unapplied cash and unidentified payments</li><li>Assist with monthly property-level reporting</li><li>Reconcile AR activity to the general ledger</li><li>Support month-end and year-end close</li><li>Prepare documentation for audits and financial reviews</li></ul>
2026-09-15T00:00:00Z

Legal Billing Specialist - Must Have Legal Exp.

La Jolla, CA
remote
Temporary / Contract
30 - 35 USD / Hourly
We are seeking an experienced Legal Billing Specialist for a fully remote, temp-to-hire opportunity. The ideal candidate will have strong law firm billing experience and be comfortable managing a high volume of client invoices in a deadline-driven environment.IMPORTANT: Candidates MUST have prior legal billing experience. Medical billing or general billing experience will not be considered. Key Responsibilities<ul><li>Prepare and process 80–100+ client invoices per week</li><li>Manage full-cycle client billing within a legal services environment</li><li>Review attorney time, expenses, and billing details for accuracy</li><li>Process electronic and client-specific billing requirements</li><li>Research and resolve billing discrepancies and client inquiries</li><li>Work closely with attorneys, paralegals, and accounting teams to resolve billing issues</li><li>Maintain accurate billing records and meet strict billing deadlines</li></ul>
2026-09-03T00:00:00Z

Benefits Specialist

Irvine, CA
onsite
Temporary to Hire
34.257 - 39.666 USD / Hourly
We are looking for a Benefits Specialist to join a team in Irvine, California in a Contract to Permanent role. This position supports the delivery of employee benefits programs by helping with enrollments, employee inquiries, records management, and benefits system activity. The ideal candidate brings strong attention to detail, a service-oriented approach, and the ability to manage several priorities while contributing to a positive employee experience. Responsibilities: • Provide day-to-day support for health, retirement, life, disability, and voluntary benefit programs while ensuring employees receive accurate and timely assistance. • Investigate and resolve issues related to enrollments, eligibility, carrier connections, billing questions, and claims concerns. • Guide employees through benefits processes and help them use benefits administration tools effectively. • Process benefits-related events such as employee enrollments, life status changes, and open enrollment activities while monitoring deadlines and documentation requirements. • Partner with HR teams and internal stakeholders to verify data accuracy, reconcile records, and address discrepancies with carriers or system files. • Assist with audits, testing, troubleshooting, and ongoing maintenance for HRIS and benefits administration platforms, including support for system updates or implementations when needed. • Coordinate assigned benefits projects by tracking milestones, organizing communications, maintaining documentation, and following through on action items. • Contribute to process improvements, employee communications, wellness initiatives, and compliance reporting to strengthen consistency and engagement across the organization.
2026-09-18T00:00:00Z