Medical Insurance Collections Specialist

Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts.

In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.

What You’ll Do

• Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement.
• Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products.
• Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation.
• Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines.
• Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions.
• Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps.
• Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance.
• Adapt to department workflows and support Collector I-level processes and training initiatives as needed.

What We’re Looking For

• Proven experience in hospital billing and medical collections within an acute care or healthcare revenue cycle environment.
• Strong understanding of managed care plans, denial management, appeals, and payer follow-up processes.
• Experience working with inpatient and outpatient hospital claims.
• Excellent analytical, communication, and problem-solving skills.
• Ability to prioritize workload, meet deadlines, and work efficiently in a high-volume environment.
• Strong attention to detail and commitment to accuracy.

Qualifications:

• At least 3 years of experience in hospital billing and collections within a healthcare or hospital environment.
• Working knowledge of medical billing, medical collections, denials management, and appeals processing.
• Hands-on experience with hospital revenue cycle operations for both inpatient and outpatient accounts.
• Familiarity with Medicare managed care, Medi-Cal managed care, commercial insurance, and HMO/PPO reimbursement structures.
• Ability to review account details, identify payment issues, and resolve balances through organized follow-up.
• Strong written and verbal communication skills for payer outreach, documentation, and appeal preparation.
• High attention to detail and the ability to manage multiple accounts while meeting productivity expectations.

Compensation

$24.12-$30.80 Hourly

About Us

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use and Privacy Notice.