Medical Collections Specialist

Description We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.

Responsibilities:
• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.
• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.
• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.
• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.
• Draft compelling appeals to challenge claim denials and secu...