Medical Collections Specialist

Marquee Staffing; Newport Beach (CA); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health insurance

Retirement plan with match

PTO and holidays

Hybrid work after temp period

Job summary

Marquee Staffing is seeking an experienced Medical Collections Specialist to manage physician claims across payer types (HMO, PPO, Medi-Cal, Medicare) and to ensure timely payments for services rendered. You will review documentation, code with ICD-10/CPT, follow up with payers, resubmit denials, process payments, and maintain accurate billing records.

The role requires 3–4 years in medical revenue cycle and experience with an EHR system, preferably EPIC.

Qualifications

• 3–4 years in medical revenue cycle management.
• Must have experience with EHR systems.
• Knowledge of ICD-10 and CPT codes.
• Experience with payer types and medical collections.
• Not entry-level; prior billing/collections required.

Responsibilities

• Process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare) to ensure timely payment.
• Review medical documentation and patient records for accurate billing entry and coding (ICD-10, CPT) for diagnoses and procedures.
• Follow up with payers on unpaid or denied claims and resubmit as needed.
• Process payments from insurance companies and patients and maintain patient billing records.
• Answer patient inquiries regarding billing and insurance coverage.
• Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors.
• Write and submit appeals to insurance companies as needed.

Skills

EPIC experience

Medical terminology

ICD-10 coding

CPT coding

A/R aging

Tools

EPIC EHR

Billing software

Job description

We are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.

Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered. Follow up with payers (HMO, PPO, Medi-Cal, Medicare, etc.) on unpaid or denied claims and resubmit as necessary. Process payments from insurance companies and patients. Maintain accurate and up-to-date patient billing records. Answer patient inquiries regarding billing and insurance coverage. Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors. Write and submit appeals to insurance companies, as needed.

Experience: 3-4 years of experience in medical revenue cycle management, including collections experience. MUST have experience using EHR system, experience with EPIC is a plus Proficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices. Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals. Expertise withHMO, PPO, Medi-Cal, and Medicare Note: This is not an entry-level position. Prior experience in medical billing/collections is required.

Schedule: Monday to Friday (7:00 am - 3:30 pm OR 7:30 am - 4:00 pm)

Work site: Newport Beach/John Wayne Airport Area - Must be able to work onsite 100% during temp period.

Benefits after Temp to Hire Period:

• Health insurance coverage
• Retirement plan options with a match
• Generous Paid Time Off (PTO) and paid holidays
• Hybrid - 2 days in office