Top 4 Medical collector Jobs in La Mesa Ca

Billing & Collections Representative II (Casual) - PFS - RCSSD
Rady Children's Health —San Diego, CA
- $23.10 - $31.77 an hour
- Mid-level
- High school diploma or GED
- Children
Credit Collection Specialist (Bilingual English/Spanish Required)
San Ysidro Health —San Diego, CA
- $25.00 - $31.26 an hour
- Full-time
- Spanish
- English
- Mid-level
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5d

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Credit Collection Specialist (Bilingual English/Spanish Required)
San Ysidro Health —San Diego, CA
Responds to all telephone inquiries in a timely and courteous manner. Performs accounts analysis at request of client including calculation of all disallowances…
$25.00 - $31.26 an hour
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A/R Financial Counselor, Collections
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Billing & Collections Representative II (Casual) - PFS - RCSSD

Rady Children's Health -
San Diego, CA

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Job Details

$23.10 - $31.77 an hour

Qualifications

Appeals
National Correct Coding Initiative (NCCI) guidelines
Debt collection
Managed care
Regulatory compliance in claims processing
Medical billing compliance checks
Mid-level
High school diploma or GED
Billing follow-up on outstanding patient balances
Medical billing and coding communication with insurance companies
Medical denial root cause analysis (RCA)
Medical insurance appeals management
Medical explanation of benefits reviews
Medical claims submission
1 year
Epic
Insurance claims appeal handling
Communication skills
Medical claim status updates

Full Job Description

This is a casual position which is subject to renewal on 03/31/2026.

JOB SUMMARY:

Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances from all payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims. This position is responsible checking status of unpaid claims by telephone, websites and/or any other means available in an efficient and timely manner. BCII is expected to provide all necessary documentation required from payors to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF) has with each Payor. This incumbent is expected to accurately analyze each denial received by reviewing the patient acct, the remittance codes from Explanation of Benefits (EOB) and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take necessary steps to send a corrected claim or appeal to payor for reprocessing of claim to overturn denial. They are to report all problematic payor trends to leadership with specific examples. If BCII has exhausted all efforts with payor to resolve a denial following our guidelines, they will forward claim on to leadership for further review and or appropriate resolution of claim. Incumbent is responsible for daily processing of assigned work queues following standards established by Leadership. Selection of activities and documentation on each account in the patient financial record will be completed in accordance with guidelines. BCII will review payor/clearing house rejections and making necessary corrections to ensure claim will be adjudicated. Incumbent is expected to follow federal, state, and local regulatory collection guidelines as well as department and payor specific billing guidelines.

Skills Required:

Strong verbal and written communicator
Problem-solver
Master negotiator
Emotional Intelligence
Attention to detail

MINIMUM QUALIFICATIONS:

H.S. Diploma,GED,or Equivalent

2 Years of Experience

Must possess some medical billing experience.

A certificate of completion from a medical billing course can be substituted for 1 year of experience

PREFERRED QUALIFICATIONS:

3 Years of Experience

EPIC experience a plus

The current salary range for this position is $23.10 to $31.77

Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

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medical collector jobs in la mesa ca

Billing & Collections Representative II (Casual) - PFS - RCSSD

Credit Collection Specialist (Bilingual English/Spanish Required)

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