Senior Medical Billing & Denials Specialist

Protouch Staffing

Los Angeles (CA)

On-site

USD 60,000 - 75,000

Full time

3 days ago
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Benefits offered by this job

Medical, dental, vision insurance
401(k) with employer match
Paid holidays
FSA
PTO

Job summary

Protouch Staffing in Los Angeles, CA is seeking a Medical Billing Specialist-Collector to manage AR, follow up on unpaid or denied claims, and resolve denials. This full-time role requires diligence, accuracy, and HIPAA-compliant handling of patient data.

You will review EOBs, prepare corrected claims and appeals, track aging accounts, and collaborate with payers. A minimum of 5 years in medical office billing with provider-side collections is expected; strong knowledge of CPT/HCPCS/ICD-10-CM is

Qualifications

  • Minimum 5 years of recent medical office billing and provider-side collections experience; 7+ years preferred.
  • Strong experience with commercial insurance, Medicare, Medi-Cal/Medicaid, and managed care plans.
  • Knowledge of CPT, HCPCS, ICD-10-CM, CMS-1500 claims, modifiers, and payer requirements.
  • Experience with claim appeals, denial resolution, and aged AR follow-up.
  • Familiarity with payer portals, practice management systems, and Microsoft Office.
  • Strong analytical, communication, organizational, and documentation skills.

Responsibilities

  • Manage insurance accounts receivable (AR) and follow up on unpaid or denied claims.
  • Resolve claim denials, underpayments, and rejections.
  • Prepare corrected claims, reconsiderations, and appeals.
  • Review EOBs/ERAs, denial codes, and payer billing requirements.
  • Track aged and high-value accounts through final resolution.
  • Document collection activities and identify recurring denial trends.

Job description

Protouch Staffing in Los Angeles, CA is seeking a Medical Billing Specialist-Collector to manage AR, follow up on unpaid or denied claims, and resolve denials. This full-time role requires diligence, accuracy, and HIPAA-compliant handling of patient data.

You will review EOBs, prepare corrected claims and appeals, track aging accounts, and collaborate with payers. A minimum of 5 years in medical office billing with provider-side collections is expected; strong knowledge of CPT/HCPCS/ICD-10-CM is

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