Hospital Collections in Los Angeles, CA at Career Strategies

Date Posted: 11/17/2020

Job Snapshot

Job Description

A well-known hospital in West Los Angeles is looking for experienced Hospital Collectors.

The Hospital Collectors are responsible for managing claims and collecting payment from the appropriate carrier while abiding by hospital policies and regulations.

The ideal candidate will have 4+ years’ experience in a billing or collections role in a hospital. They will also be an expert on private and government regulations that are applied to hospitals and hospital services.

Career Strategies Inc is a national staffing firm that provides temporary and direct hire staffing services to outstanding firms located throughout the United States. For over 30 years, we have helped thousands of talented candidates find fulfilling careers in a variety of industries including technology, entertainment, marketing, real estate, finance and accounting. 

Medi-Cal Managed Care collectors 3+ years of collections experience within a hospital setting, with strong emphasis on Medi-Cal Managed Care contracts and appeals/underpayment collection activities//Knowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.) //Knowledge of medical terminology and CTP/HCPS codes Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations 

Medi-Cal Fee For Service In-Patient collector: 3+ years of collections experience within a hospital setting/Medi-Cal Fee for Service and appeals/CIF’s collection activities/EXCEL experience/ Knowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.)/Knowledge of medical terminology and CTP/HCPS codes/Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations

Transplant Commercial In-Patient collector: 3+ years of collections experience within a hospital setting, with strong emphasis on managed care contracts and appeals/underpayment collection activities/Knowledge of collection techniques and collection laws (i.e. AB1455, Knox-Keene Act, Health & Safety Codes, etc.) /Knowledge of medical terminology and CTP/HCPS codes /Knowledge of networks, IPA's, HMO's, PPO's and PCP's and contract affiliations

Depending on collections position:

  • Appeals and underpayment
  • Medi-Cal fee for Service
  • Managed care contracts


Job Requirements

About the Candidate:

  • High school diploma or GED (MUST)
  • 3+ years’ experience in healthcare environment (MUST)
  • 3+ years’ experience in medical collections and/or refunds (MUST)
  • 3+ years’ experience working with HMO/PPO, commercial, Medicare/Medi-Cal (MUST)
  • 3+ years’ experience working with contract affiliations (MUST)
  • Knowledge of medical terminology, coding, ICD, CPT, IPA, HMO, PPO, PCP (MUST)
  • Knowledge of networks and CTP/HCPS codes (MUST)
  • Accurate data entry and typing skills of 45 WPM+ (MUST)
  • Intermediate computer/software skills: Outlook, Word, Excel, PowerPoint (MUST)
  • Desired Personality Traits and Advanced Skills: accurate data entry, able to communicate clearly and concisely, ability to recognize trends, analyze and prioritize issues, attention to detail, organized, conflict/problem resolution, unwavering integrity, confidentiality, discretion


Additional Information

Equal Opportunity Employer considering qualified candidates in accordance with state and federal laws, including those with criminal histories, in a manner consistent with the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.