Medical Biller/Collections Specialist

We are looking for a detail-oriented Medical Biller/Collections Specialist to support Federally Qualified Health Care revenue cycle operations for a healthcare organization in Pomona, California. This Contract position focuses on accurate payment posting, insurance follow-up, and claim submission activities that help maintain timely reimbursement and organized financial records. The ideal candidate brings hands-on experience with medical billing processes, payer communication, and month-end reporting in a fast-paced healthcare environment.

Responsibilities:

• Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts.

• Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly.

• Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review.

• Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files.

• Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors.

• Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance.

• Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution.

• Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers.

Qualifications:

• Demonstrated experience in medical billing and collections within a healthcare or hospital setting.
• Working knowledge of medical denials management and appeals processes for insurance claims.
• Familiarity with hospital billing practices and reimbursement workflows.
• Ability to read and apply ICD and CPT coding information in support of claim accuracy.
• Experience using electronic remittance advice tools and clearinghouse systems for claims processing.
• Proficiency in Excel for tracking activity, compiling reports, and supporting month-end reconciliation.
• Strong attention to detail with the ability to manage multiple accounts and deadlines effectively.

Compensation

$19.79-$22.91 Hourly

About Us

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Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. 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.

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