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General Information

Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 7:30 AM - 4:00 PM
Posted Date
07/10/2025
Salary Range: $27.65 - 39.27 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
25480

Primary Duties and Responsibilities

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:
  • Conducting regular account reviews to identify outstanding balances.
  • Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies.
  • Diligently following up on claims to ensure timely resolution.
  • Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues.
Salary Range: $27.65 - $39.27/hourly

Job Qualifications

We are seeking a self-directed, detail-oriented individual with:
  • High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation
  • Experience in commercial and managed care collections, highly desired
  • Ability to interpret payer contracts and process contractual adjustments
  • In-depth knowledge of UB04 requirements and medical billing processes
  • Strong analytical skills and proven proficiency in Excel and spreadsheets
  • 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
  • Excellent verbal and written communication skills
  • Proficiency in Microsoft Office, especially Excel and Word
  • Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively