Healthcare Collections Representative

Healthcare Collections Representative $24 - $28 per hour | Los Angeles, CA | Hybrid | Consulting | 3+ month contract opportunity Job Summary We are seeking a dynamic and experienced Consulting Claims Examiner III to join our growing team in the healthcare industry. The position requires an individual who is detail‑oriented, highly analytical, and adept at handling a high volume of claims. The successful candidate will be responsible for the accurate and timely data entry, review, and adjudication of professional, ancillary, and institutional claims for services rendered in various healthcare settings. The role requires a deep understanding of regulatory guidelines, contract provisions, and established policies and procedures. Incumbent will be responsible for meeting quality, productivity, service‑level, and turn‑around requirements in accordance with the department’s performance standards and regulatory requirements. Responsibilities Accurate and timely data entry, review, and adjudication of all types of healthcare claims. Ensuring compliance with regulatory guidelines, contract provisions, and established policies and procedures. Meeting quality, productivity, service‑level, and turn‑around requirements. Receiving work assignments via batch, report, in‑basket pools, work queues, or other methods. Researching and resolving complex claim issues. Training others on claims processes and workflows. Collaborating with other departments to ensure the accuracy of claims processing and resolve any discrepancies. Continuously updating knowledge on industry trends and regulations to ensure the company’s compliance. Qualifications 5+ years of experience in claims examination, preferably in the healthcare industry. Proficient in data entry, review, and adjudication of healthcare claims. Strong knowledge of regulatory guidelines, contract provisions, and established policies and procedures related to healthcare claims. Excellent analytical skills with the ability to research and resolve complex claim issues. Proven experience in meeting quality, productivity, service‑level, and turn‑around requirements. Strong training skills with the ability to effectively train others on claims processes and workflows. Excellent communication and interpersonal skills. Strong computer skills, including proficiency in Microsoft Office Suite and claims management software. Ability to work independently and collaboratively within a team environment. Bachelor’s degree in healthcare administration, business, or a related field is preferred. Benefits Competitive compensation Medical, Dental, Vision, and Life Insurance Flexible Schedule Job Stability Career growth Equal Opportunity Employer Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. #J-18808-Ljbffr Australia-Employment