billing/collections specialist.

We are seeking a detail-oriented and motivated Medical Biller & Collections Specialist to join our dynamic team. This role is responsible for the full scope of the revenue cycle, from submitting accurate and timely claims to performing proactive accounts receivable follow-up and collections. The ideal candidate will be skilled in resolving payment issues, managing claim denials, and pursuing outstanding balances to ensure maximum reimbursement.

salary: $55,000 - $62,000 per year
shift: First
work hours: 8 AM - 4 PM
education: Bachelors

Responsibilities

• Claim Submission & Management: Prepare and submit accurate claims to various health plans and payors based on contract requirements. Review, modify, and re-bill any rejected or denied claims in a timely manner.
  
  
• Collections & A/R Management: Proactively manage and monitor accounts receivable, pursuing outstanding payments from different payors to determine appropriate collection methods and strategies.
  
  
• Denial Management & Appeals: Conduct thorough research to appeal claim denials, partial payments, and other payment issues. Compile all necessary paperwork and communicate professionally with carriers to resolve discrepancies.
  
  
• Customer & Payor Communication: Communicate effectively and professionally with external customers and insurance carriers regarding billing, payments, and outstanding balances.
  
  
• Cash & Payment Support: Assist the Cash department with payor backup as needed for payments received and handle requests for refunds or credits when applicable.
  
  
• Compliance & Quality: Adhere to all company policies, HIPAA regulations, and information systems security protocols. Meet or exceed established standards for productivity and quality in a high-volume work environment.
  
  
• Team Collaboration: Be flexible with shifting daily priorities, work overtime as assigned, and perform other duties as needed to support the team.
  
  

Skills

Commercial Collections

Credit

Qualifications

Years of experience: 0 years

Experience level:

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.