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.<br><br>Responsibilities:<br>• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.<br>• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.<br>• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.<br>• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.<br>• Draft compelling appeals to challenge claim denials and secure appropriate reimbursements.<br>• Maintain a thorough understanding of various insurance products, including Medicare Advantage plans.<br>• Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals.<br>• Collaborate with team members to handle complex claims and develop effective solutions.<br>• Utilize analytical skills to make informed decisions on resolving claims and account discrepancies.<br>• Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
<p>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.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><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>
We are looking for a capable clinical operations supervisor to support evening and overnight teams in a fast-paced healthcare environment in Sacramento, California. This Contract position is ideal for someone who can guide staff effectively, maintain steady daily operations, and build strong working relationships across departments. The person in this role will help oversee frontline activity, address operational concerns, and promote a consistent, team-focused approach to patient support services.<br><br>Responsibilities:<br>• Provide day-to-day supervision for approximately 20 evening and night shift team members, offering direction, support, and performance oversight.<br>• Serve as the on-call point of contact for operational issues that arise outside standard daytime coverage.<br>• Review and act on daily operational reports to monitor staffing, workflow, and service needs.<br>• Conduct regular staff rounding to stay informed on shift activity, address concerns, and reinforce expectations.<br>• Lead daily team huddles to communicate priorities, share updates, and align staff on department goals.<br>• Coordinate with ancillary departments to support smooth operations and timely resolution of cross-functional needs.<br>• Handle employee matters such as schedule-related concerns, corrective action processes, and staff guidance in accordance with workplace policies.<br>• Support training and transition activities during the onboarding period to ensure readiness for the assigned shift schedule.
<p>We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.</p><p>• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.</p><p>• Abstract required data elements from medical records in alignment with facility-specific guidelines.</p><p>• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.</p><p>• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.</p><p>• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.</p><p>• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.</p><p>• Analyze and ensure compliance with coding, billing, and data collection regulations.</p><p>• Address missing or unclear information by seeking clarification and ensuring proper documentation.</p><p>• Independently manage workload and prioritize tasks to meet departmental productivity standards.</p>