Job Details

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday-Friday 7:30 AM - 4:30 PM
Posted Date
11/03/2025
Salary Range: $27.65 - 39.27 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinate
Job #
27360
Primary Duties and Responsibilities
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As a Medi-Cal Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include:
* Conducting regular account reviews to identify outstanding balances.
* Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies.
* Diligently following up on claims to ensure timely resolution.
* Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues.
Salary Range: $27.65- $39.27/hourly
Job Qualifications
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We are seeking a self-directed, detail-oriented individual with:
* High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation
* Experience in commercial and managed care collections, highly desired
* Ability to interpret payer contracts and process contractual adjustments
* In-depth knowledge of UB04 requirements and medical billing processes
* Strong analytical skills and proven proficiency in Excel and spreadsheets
* Understanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations
* Excellent verbal and written communication skills
* Proficiency in Microsoft Office, especially Excel and Word
* Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively