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Description We are offering a contract to permanent employment opportunity for a Medical Collections Specialist in Irvine, California. This role primarily involves managing and collecting outstanding accounts receivable from patients and third-party payers in the healthcare industry. The ideal candidate will exhibit a meticulous attention to detail and strong communication skills, ensuring accurate and timely collection of payments while adhering to billing protocols and maintaining patient confidentiality.

Responsibilities:

• Monitor and manage assigned accounts to identify outstanding balances

• Conduct daily follow-up on outstanding claims and patient accounts via phone calls, emails, and written correspondence

• Review and verify the accuracy of billing records and statements

• Process received payments, update account statuses, and maintain accurate records in the billing system

• Submit claims to insurance companies and follow up on denials, rejections, and partial payments

• Work with insurance companies to resolve discrepancies and ensure proper claim processing

• Respond to patient and insurance company inquiries regarding billing and account status

• Provide patients with explanations of benefits, payment options, and account resolutions

• Ensure all collections practices comply with federal and state regulations, including HIPAA

• Prepare and present regular reports on collection activities, account statuses, and outstanding balances

• Identify trends and propose solutions to improve collection processes and reduce outstanding accounts. Requirements • Proficiency in Accurint, Dynamic Data Exchange (DDE), EHR SYSTEM, Epic Software, IBM AS/400 software.

• Proven experience in managing appeals, billing functions, claim administration, collection processes, and the role of a collector.

• Solid understanding and knowledge of medical collections procedures.

• Excellent communication and negotiation skills.

• Ability to handle sensitive and confidential information.

• Strong attention to detail and problem-solving skills.

• Demonstrated ability to work independently and as part of a team.

• Proficient in Microsoft Office Suite, specifically Excel and Word.

• Ability to prioritize and manage time effectively.

• Strong customer service and interpersonal skills.

• High level of professionalism and ethical standards.

• Demonstrated ability to meet and exceed collection targets.

• Knowledge of applicable laws and regulations related to medical collections.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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