Temporary Hospital Billing Follow-Up Specialist

Position: Temporary Hospital Billing Follow-Up Specialist
Location: Salinas, CA 93901
Duration: Temporary Contract | Possible Extension
Shift: Monday - Friday | 8:00 AM - 4:30 PM PST
Pay : $25 - $30 Per hour
Work Schedule: Onsite

Position Overview
Seeking an experienced Hospital Billing Follow-Up Specialist to support the Patient Financial Services team with insurance follow-up, claims resolution, denial management, and accounts receivable processes. This role focuses on reducing aging accounts, resolving claim discrepancies, and ensuring timely reimbursement from commercial and government payers.


Key Responsibilities

• Perform insurance claims follow-up on outstanding hospital and physician accounts
• Contact commercial insurance, Medicare, Medicaid, Managed Care, Worker's Compensation, and CHAMPUS payers regarding claim status and reimbursement
• Research and resolve denied, rejected, or underpaid claims
• Correct and resubmit claims as needed to ensure accurate reimbursement
• Review billing discrepancies and coordinate with coding, registration, and medical records departments
• Maintain detailed account documentation and update billing systems accurately
• Interpret EOBs, remittance advice, and payer responses
• Escalate complex account issues and payer trends to management
• Meet productivity and quality standards in a fast-paced revenue cycle environment
• Ensure compliance with HIPAA, billing regulations, and hospital policies

Required Qualifications

• Minimum 1+ year of hospital or physician billing/follow-up experience
• Experience with insurance claims follow-up and denial management
• Knowledge of CPT, ICD-10, HCPCS coding, and billing concepts
• Experience working with EMR/billing systems
• Strong analytical, communication, and problem-solving skills
• High school diploma or equivalent required

Preferred Qualifications

• Experience with Commercial, Worker's Compensation, and CHAMPUS payers
• Epic/Medicare/Medicaid billing experience
• Previous hospital A/R follow-up experience
• Meditech experience preferred
• Understanding of denial management workflows and payer portals

Ideal Candidate
The ideal candidate will have strong hospital revenue cycle experience, excellent attention to detail, and the ability to manage high-volume accounts while maintaining accuracy and productivity standards. Also experience with Commercial, Worker's Compensation and CHAMPUS payers.