Medical Collections Specialist (Medi-Cal)

TEKsystems
$25.00 - $28.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Covina
Jun 03, 2025
Description We are seeking a detail-oriented and experienced Medical Collector to join our hospital's revenue cycle team. The ideal candidate will have a strong background in Medi-Cal and managed care collections, with a deep understanding of hospital billing practices and payer requirements. This role is critical in ensuring timely and accurate reimbursement for services rendered. Key Responsibilities: * Review and analyze patient accounts to identify outstanding balances and initiate collection efforts. * Follow up with Medi-Cal and managed care payers to resolve unpaid or underpaid claims. * Interpret Explanation of Benefits (EOBs), remittance advice, and denial codes to determine next steps. * Submit appeals and corrected claims as needed to ensure maximum reimbursement. * Communicate with patients, insurance companies, and internal departments to resolve billing issues. * Maintain accurate documentation of collection activities in the billing system. * Monitor aging reports and prioritize accounts based on payer deadlines and balance thresholds. * Stay current with Medi-Cal and managed care billing guidelines and regulatory changes. Qualifications: * High school diploma or equivalent required; associate degree in healthcare administration or related field preferred. * Minimum 4 years of experience in hospital medical collections, with a focus on Medi-Cal and managed care. * Strong knowledge of CPT, ICD-10, and HCPCS coding. * Familiarity with hospital billing systems (e.g., Epic, Cerner) and clearinghouses. * Excellent communication and negotiation skills. * Ability to work independently and manage multiple priorities in a fast-paced environment. Preferred Skills: * Experience with California Medicaid (Medi-Cal) and regional managed care plans (e.g., IEHP, LA Care, Health Net). * Understanding of hospital revenue cycle workflows and compliance standards. Skills medical billing, collections medical, cms 1500, hospital billing Top Skills Details medical billing,collections medical,cms 1500,hospital billing Additional Skills & Qualifications Additional Skills & Qualifications 4+ years experience in hospital billing/collections most importantly medi-cal experience Medi-cal collections and billing Follow Up insurance calls Data Entry Hospital collections/billing Experience Level Intermediate Level Pay and Benefits The pay range for this position is $25.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Covina,CA. Application Deadline This position is anticipated to close on Jun 13, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.