Medical Collections Specialist

A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.

The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.

Key ResponsibilitiesPerform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payersReview inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolutionManage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOsPrepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claimsResearch and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim historyCollaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomesMaintain accurate and detailed documentation of collection activity, payer communications, and account status updatesMonitor assigned accounts to reduce aging AR and improve overall collection performanceSupport departmental goals related to cash collections, denial management, and revenue cycle efficiency