Collection Representative

Children's Hospital Los Angeles (CHLA); Glendale (CA); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Children's Hospital Los Angeles (CHLA) seeks a Collection Representative who will handle billing and follow-up related to various payers including HMO’s and Medi-Cal. This role demands strong problem-solving, organizational, and prioritization skills. The position supports vital financial aspects of the hospital, ensuring accurate collections and addressing discrepancies efficiently.

Experience in hospital billing is required, and familiarity with medical coding and electronic health record systems is preferred. This is a hybrid position with work flexibility, aiming to contribute significantly to the healthcare finance department.

Qualifications

• 1 year experience in hospital billing and collections including insurance and government payers.
• Experience with facility claims for inpatient and/or outpatient billing.
• Familiarity with medical billing processes and insurance claims.

Responsibilities

• Responsible for billing and follow-up related to insurance and government payers.
• Analyze financial documents and resolve billing discrepancies.
• Ensure accurate billing and timely collections.

Skills

Problem-solving

Organizational skills

Prioritization skills

Education

High School Diploma, GED, or equivalent

Certificate or degree in a healthcare background

Tools

Electronic Health Record (EHR) systems

Billing software

Medical coding (ICD-10, CPT)

Job description

Hybrid: 1 day on‑site, 4 days remote with flexibility. Schedule: Monday‑Friday, 9:00 AM‑5:30 PM.

Purpose Statement / Position Summary

The Collection Representative is responsible for billing and follow‑up related to HMO’s, PPO’s, Medi‑Cal, CCS, GHPP, PCCM’s Managed Care and outside organizations. The role includes responding to inquiries, resolving billing and collection matters, analyzing financial documents, identifying discrepancies, and ensuring accurate billing and timely collections. Strong problem‑solving, organizational, and prioritization skills are required.

Required Qualifications

• 1 year experience in hospital billing and collections, including insurance and government payers.

Preferred Qualifications

• Experience with facility claims for inpatient and/or outpatient billing for commercial and managed care payers.
• Familiarity with medical billing processes, insurance claims, and medical coding (ICD‑10, CPT).
• Experience with electronic health record (EHR) systems and billing software.
• Knowledge of CCS, Medi‑Cal, and GHPP.

Education / Licensure / Certification

Required

• High School Diploma, GED, or equivalent.

Preferred

• Certificate or degree in a healthcare background.