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Medical Billing Specialist/Accounts Receivable/Collections Specialist

A.P.R., Inc. (AlphaProTemps)

Job Description

Job Description

Medi-Cal Billing Specialist

Requirements

  • High School Diploma or GED required.
  • 1–3 years of experience in hospital accounts receivable, medical billing, or healthcare collections .
  • Knowledge of hospital billing processes, CPT/ICD codes, DRG reimbursement, and UB-04 institutional claims .
  • Experience working with Medi-Cal, Medicare, and commercial payers .
  • Experience with insurance eligibility verification through payer portals and customer service.
  • Strong knowledge of claim denials, underpayments, appeals, and payment variances.
  • Proficiency with hospital billing systems and Microsoft Office.
  • Strong communication, analytical, and attention-to-detail skills.

Responsibilities

  • Review AR aging reports and prioritize collection activities.
  • Follow up with insurance carriers regarding outstanding balances.
  • Verify insurance eligibility through payer websites and portals.
  • Follow up on UB-04/institutional claims .
  • Investigate and appeal denied or underpaid claims.
  • Resolve billing discrepancies with internal departments.
  • Document all account and collection activities accurately.
  • Maintain compliance with HIPAA, hospital policies, and applicable regulations
\nCompany Description

AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.

Company Description

AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.

Vacancy posted 1 day ago
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