Job Description

Description
We are looking for a Hospital Medical Collections Specialist to join a healthcare organization in the San Fernando Valley. The Hospital Medical Collections Specialist supports the revenue cycle by following up on outstanding hospital accounts, resolving payer issues, and helping improve reimbursement outcomes across inpatient and outpatient services. The Hospital Medical Collections Specialist must bring strong hospital billing and collections experience, along with a working knowledge of managed care, government, and commercial insurance plans.


Responsibilities:

• Pursue payment on outstanding hospital claims by reviewing account status, contacting payers, and addressing barriers that delay reimbursement.

• Investigate denials, underpayments, and rejected claims, then take appropriate action through corrections, reconsiderations, or formal appeals.

• Manage collections activity across a range of hospital accounts, including inp...

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