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21 days
Not Specified
Not Specified
$16.02/hr - $24.72/hr (Estimated)
<p>General Information</p> <p>Press space or enter keys to toggle section visibility</p> <p>Work Location: Los Angeles, CA, USA</p> <p>Onsite or Remote</p> <p>Flexible Hybrid</p> <p>Work Schedule</p> <p>Monday - Friday, 7:30 AM - 4:00 PM</p> <p>Posted Date</p> <p>11/25/2025</p> <p>Salary Range: $27.65 - 39.27 Hourly</p> <p>Employment Type</p> <p>2 - Staff: Career</p> <p>Duration</p> <p>Indefinite</p> <p>Job #</p> <p>27712</p> <p>Primary Duties and Responsibilities</p> <p>Press space or enter keys to toggle section visibility</p> <p>As a Commercial Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include:</p> <ul> <li>Conducting regular account reviews to identify outstanding balances. </li><li>Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies. </li><li>Diligently following up on claims to ensure timely resolution. </li><li>Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues. </li></ul> <p>Salary Range: $27.65 - $39.27 /hourly</p> <p>Job Qualifications</p> <p>Press space or enter keys to toggle section visibility</p> <p>We are seeking a self-directed, detail-oriented individual with:</p> <ul> <li>High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation </li><li>Experience in commercial and managed care collections, highly desired </li><li>Ability to interpret payer contracts and process contractual adjustments </li><li>In-depth knowledge of UB04 requirements and medical billing processes </li><li>Strong analytical skills and proven proficiency in Excel and spreadsheets </li><li>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 </li><li>Excellent verbal and written communication skills </li><li>Proficiency in Microsoft Office, especially Excel and Word </li><li>Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively </li></ul>
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