Hospital Medical Collections Specialist

A Hospital in Los Angeles is currently seeking a Hospital Medical Insurance Collections Specialist to join our client’s team. The Hospital Medical Insurance Collections Specialist will focuses on ensuring accurate and timely collections of medical claims for acute care facilities, using your expertise in UB-04 claims processing. The Hospital Medical Insurance Collections Specialist must be proficient with following up with insurance companies on unpaid and denied claims.

Key Responsibilities:

• Manage and process collections for medical insurance claims, including HMO and PPO plans.
• Handle UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely.
• Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies.
• Communicate effectively with internal departments and external payers to resolve outstanding accounts.
• Ensure compliance with all HIPAA, insurance, and regulatory requirements.
• Maintain accurate records and documentation of claim statuses within systems.

Medical Billing, UB04 form, Medical Collections, Medical Appeals, Medical Denials, HMO PPO, Hospital Billing, Hospital Inpatient, Hospital Outpatient, Hospital Revenue Cycle