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Medical Biller/Collections Specialist
Job
Robert Half
Pomona, CA (In Person)
Full-Time
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Job Description
We are looking for a detail-oriented Medical Biller/Collections Specialist to support Federally Qualified Health Care revenue cycle operations for a healthcare organization in Pomona, California. This Contract position focuses on accurate payment posting, insurance follow-up, and claim submission activities that help maintain timely reimbursement and organized financial records. The ideal candidate brings hands-on experience with medical billing processes, payer communication, and month-end reporting in a fast-paced healthcare environment.
Responsibilities:
- Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts.
- Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly.
- Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review.
- Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files.
- Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors.
- Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance.
- Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution.
- Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers.