Medical Biller/Collections Specialist

Job Description

Job Description

We are looking for an experienced Medical Biller/Collections Specialist to support a busy revenue cycle team in Los Angeles. This Medical Biller/Collections Specialist position is ideal for someone who understands the full medical billing lifecycle and can drive timely reimbursement across commercial, government, and patient accounts. The Medical Biller/Collections Specialist in this role will help strengthen accounts receivable performance by resolving claim issues, pursuing outstanding balances, and maintaining accurate billing documentation.

Responsibilities:

• Prepare and transmit clean claims to insurance carriers and government programs in a timely manner to support consistent cash flow.

• Review outstanding accounts and take proactive steps to collect payment on unpaid, denied, or partially reimbursed claims.

• Analyze accounts receivable aging and prioritize follow-up activities to reduce open balances and improve resolution times.

• Research claim edits, rejections, and denials, then complete corrections, resubmissions, or appeals as appropriate.

• Enter payments, contractual adjustments, and denial information accurately within the billing records.

• Communicate with health plans, patients, and internal team members to clarify billing questions and move accounts toward resolution.

• Ensure billing activity aligns with payer rules, regulatory standards, and established organizational procedures.

• Assist with broader revenue cycle tasks such as claim review, payment balancing, account investigation, and detailed documentation of collection efforts.

• 3+ years of experience in medical billing and collections within a healthcare or clinical setting.
• Hands-on knowledge of claim follow-up, accounts receivable management, and reimbursement workflows.
• Experience handling denials, underpayments, and formal appeals with a high level of accuracy.
• Working knowledge of HMO, PPO, Medicare, and Medi-Cal billing guidelines.
• Ability to interpret payer requirements and apply them to billing corrections and account resolution.
• Strong attention to detail with the ability to document account activity clearly and thoroughly.
• Effective communication skills for interacting with payers, patients, and internal staff in a detail-oriented manner.