Medical Collections Specialist

13-week contract with possibility to extend or go permanent

1–3 years in hospital medical collections follow up, or healthcare collections.

REQUIRED: EXPERIENCE WITH INPATIENT AND OUTPATIENT COLLECTION

Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement.
Familiarity with payer guidelines such as Medicare, Medi-Cal and commercial payers
Strong communication skills for payer interactions.
Proficiency in hospital billing and follow up systems and Microsoft Office.
Attention to detail and ability to analyze claim denials and payment variances.

Review hospital accounts receivable aging reports and prioritize collection efforts.
Contact insurance carriers to collect outstanding balances and resolve issues.
Knowledge in follow up for institutional claims ( UB04)
Investigate and appeal denied or underpaid claims to maximize reimbursement.
Coordinate with other departments such as billing team to resolve discrepancies.
Document all collection activities in the hospital’s system
Ensure compliance with HIPAA, hospital policies, and state/federal regulations.
Obtaining Eligibility via website/insurance portals, insurance customer service

We have been in the industry for over 30 years, understand the challenges and felt the need to offer a higher service than the rest!

Our team consists of medical and staffing professionals, that understand the value of personal relationships and high speed results.

Q2H Staffing is an Equal Opportunity Employer. All applicants will be considered for employment without attention to race, color, religion, national origin, age, sex, disability, marital status or veteran status.