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1 result for Medical Biller in Ventura, CA

Medical Insurance Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
24.12 - 30.8 USD / Hourly
Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts. In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.What You’ll Do<ul><li>Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement.</li><li>Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products.</li><li>Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation.</li><li>Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines.</li><li>Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions.</li><li>Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps.</li><li>Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance.</li><li>Adapt to department workflows and support Collector I-level processes and training initiatives as needed.</li></ul>What We’re Looking For<ul><li>Proven experience in hospital billing and medical collections within an acute care or healthcare revenue cycle environment.</li><li>Strong understanding of managed care plans, denial management, appeals, and payer follow-up processes.</li><li>Experience working with inpatient and outpatient hospital claims.</li><li>Excellent analytical, communication, and problem-solving skills.</li><li>Ability to prioritize workload, meet deadlines, and work efficiently in a high-volume environment.</li><li>Strong attention to detail and commitment to accuracy.</li></ul>
2026-06-19T00:00:00Z