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2 results for Insurance Verification Specialist in Irvine, CA

Medical Insurance Collections Specialist

North Hollywood, CA
onsite
Temporary / Contract
23.01 - 31.23 USD / Hourly
A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.Key Responsibilities<ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul>
2026-06-05T00:00:00Z

Workers' Compensation Specialist

Pasadena, CA
remote
Temporary / Contract
26 - 34 USD / Hourly
We are looking for an experienced Workers' Compensation Specialist to provide dedicated leave coverage for a Human Resources team. This Long-term Contract opportunity will focus on guiding employees and managers through workers' compensation matters, coordinating claim activity, and supporting compliant return-to-work and accommodation processes. The role requires a practical, detail-oriented individual who can step in quickly, work a flexible schedule of 20 to 40 hours per week, and maintain strong communication with internal stakeholders and external insurance partners. Responsibilities:• Oversee the day-to-day handling of workers' compensation cases, ensuring timely follow-up and accurate coordination from initial report through resolution.• Serve as a key point of contact for employees who need support during workplace injury claims, providing clear guidance and updates throughout the process.• Partner with managers and HR colleagues to facilitate return-to-work planning and help align transitional work options with business needs and employee limitations.• Review and coordinate workplace accommodation requests related to occupational injuries, helping maintain compliance and consistency in documentation.• Work closely with insurance carriers, brokers, and other external partners to monitor claim status, exchange required information, and address outstanding issues.• Maintain organized records, track claim developments, and prepare case details needed for internal review and decision-making.• Advise stakeholders on workers' compensation procedures, deadlines, and best practices to promote efficient case management.• Adjust weekly availability as needed within the 20 to 40 hour range to support coverage demands during the assignment period.
2026-06-09T00:00:00Z