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Medical Collections Specialist

Marquee Staffing

Newport Beach, CA

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JOB DETAILS
SKILLS
Accounts Receivable, Analysis Skills, Billing, Billing Records, Credit and Collections, Current Procedural Terminology (CPT), Documentation, Epic Systems, Health Maintenance Organization (HMO), ICD-10, Identify Issues, Insurance, Medi-Cal, Medical Billing, Medical Record System, Medical Records, Medical Terminology, Medical Treatment, Medicare, Preferred Provider Organization (PPO), Revenue Management, Time Management
LOCATION
Newport Beach, CA
POSTED
1 day ago

We are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.
Duties:
  • Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
  • Follow up with payers (HMO, PPO, Medi-Cal, Medicare, etc.) on unpaid or denied claims and resubmit as necessary.
  • Process payments from insurance companies and patients.
  • Maintain accurate and up-to-date patient billing records.
  • Answer patient inquiries regarding billing and insurance coverage.
  • Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors.
  • Write and submit appeals to insurance companies, as needed.
Experience:
  • 3-4 years of experience in medical revenue cycle management, including collections experience.
  • MUST have experience using EHR system, experience with EPIC is a plus
  • Proficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices.
  • Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.
  • Expertise withHMO, PPO, Medi-Cal, and Medicare

Note: This is not an entry-level position. Prior experience in medical billing/collections is required.

Schedule: Monday to Friday (7:00 am - 3:30 pm OR 7:30 am - 4:00 pm)
Work site: Newport Beach/John Wayne Airport Area - Must be able to work onsite 100% during temp period.

Benefits after Temp to Hire Period:
  • Health insurance coverage
  • Retirement plan options with a match
  • Generous Paid Time Off (PTO) and paid holidays
  • Hybrid - 2 days in office

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About the Company

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Marquee Staffing