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4 results for Denials Specialist in Sacramento, CA

Medical Payment Poster Specialist

Sacramento, CA
onsite
Temporary to Hire
22.00 - 24.00 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.
2026-06-01T17:18:50Z

Medical Collections Specialist

Sacramento, CA
onsite
Temporary to Hire
23.00 - 24.00 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.
2026-05-27T19:18:44Z

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.90 - 24.20 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
2026-05-11T14:38:51Z

Medical Collections

Sacramento, CA
onsite
Temporary / Contract
24.00 - 27.00 USD / Hourly
Our healthcare client in Sacramento is seeking an experienced Medical Collections Specialist for an immediate contract opportunity. This role requires a professional who can work with a high sense of urgency, manage outstanding accounts efficiently, and support a fast-paced revenue cycle environment. This position is fully on-site and requires daily attendance in the Sacramento office. Based on general knowledge. Key Responsibilities:<ul><li>Manage and follow up on outstanding insurance and patient balances in a timely manner. Based on general knowledge.</li><li>Review aging reports and prioritize accounts for collection activity. Based on general knowledge.</li><li>Contact insurance companies and/or patients to resolve unpaid claims and secure payment. Based on general knowledge.</li><li>Research denials, underpayments, and payment discrepancies and take appropriate action. Based on general knowledge.</li><li>Document collection efforts, account updates, and resolutions accurately in the billing system. Based on general knowledge.</li><li>Collaborate with billing, coding, and other revenue cycle team members to resolve account issues. Based on general knowledge.</li><li>Maintain productivity standards while ensuring professionalism and accuracy. Based on general knowledge.</li><li>Support additional revenue cycle or collections-related projects as needed. Based on general knowledge.</li></ul>
2026-05-22T16:48:41Z