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>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>
We are looking for a relationship-driven Physician Liaison to support referral growth and care coordination for specialty providers serving patients after acute injuries. This Contract to permanent position is based in Sacramento, California, and focuses on strengthening connections with referral sources while helping patients access appropriate services across interventional pain, orthopedics, neurology, and neuropsychology. The ideal candidate brings strong outside sales instincts, healthcare coordination awareness, and the ability to communicate complex care pathways clearly to both clinical and non-clinical stakeholders.<br><br>Responsibilities:<br>• Develop and sustain productive partnerships with urgent care centers, emergency departments, physician practices, and other referral sources involved in injury-related care.<br>• Present the organization’s specialty services, diagnostic resources, and care coordination capabilities in a clear and thorough manner to referral partners.<br>• Support compliant referral flow between external partners and specialty physicians to help patients move through evaluation and treatment without unnecessary delays.<br>• Recognize obstacles that may slow access to care and work with appropriate teams to address operational issues affecting referral progression.<br>• Gather and share feedback from referral sources to highlight service needs, relationship trends, and opportunities for improvement.<br>• Work closely with internal leaders and provider teams to improve alignment between community referral accounts and specialty care services.<br>• Represent the organization at industry gatherings, local networking opportunities, and industry events to strengthen market presence and community relationships.<br>• Contribute to efforts that improve continuity of care from the initial referral through treatment completion and recovery support.
<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>