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Collections Manager

VISIONQUEST INDUSTRIES INC -
Vista, CA

Quick Apply

Job Details

Full-time
10 days ago

Qualifications

Appeals
Medicare
Accounts receivable management
Achieving HIPAA compliance
Regulatory compliance in claims processing
HIPAA
Medical coding guidelines
Medical billing compliance checks
Research
Payment reconciliation for medical billing
Workers' compensation insurance knowledge
High school diploma or GED
Medical insurance appeals management
Medical explanation of benefits reviews
Insurance claims appeal handling
Medical debt collection accounts
Collections account management

Full Job Description

VQ OrthoCare

Job Posting

Medical Collector – DME (Senior)

Location: Vista, California (on-site)

Department: Revenue Cycle / Collections

Employment Type: Full-Time

About the Role

VQ OrthoCare is seeking an experienced Senior Medical Collector to join our Vista, California office. In this role you will own the back-end collection of durable medical equipment (DME) claims across multiple payer types, resolving aged accounts, working denials and appeals, and driving down outstanding A/R. This is a senior position for a self-directed collector who knows DME billing rules cold and can serve as a go-to resource for the team.

Key Responsibilities

Manage and collect on outstanding DME claims across Medicare, Department of Defense (DOD)/TRICARE, commercial, and workers’ compensation payers.
Research, resolve, and appeal denied, underpaid, and rejected claims, ensuring timely follow-up within filing limits.
Review payer remittances and EOBs to identify root causes of denials and trends, and recommend process improvements.
Initiate and track appeals, reconsiderations, and reopenings in line with each payer’s requirements and deadlines.
Communicate professionally with payers, patients, referral sources, and internal teams to resolve account issues.
Maintain detailed, compliant account notes and meet productivity and aging targets.
Ensure all activity complies with HIPAA, payer regulations, and company policies.

Required Qualifications

3+ years of medical collections experience with a strong focus on DME claims.
Demonstrated DME collection experience across all four payer types: Medicare, DOD/TRICARE, commercial, and workers’ compensation.
Working knowledge of DME billing requirements, HCPCS coding, modifiers, CMNs, and proof-of-delivery documentation.
Experience working denials, appeals, and aged A/R with measurable results.
Familiarity with payer portals, clearinghouses, and electronic claims/remittance workflows.
Strong understanding of EOBs, remittance advice, allowables, and contractual adjustments.
High attention to detail, strong organizational skills, and the ability to work independently and meet targets.
Working knowledge of HIPAA and healthcare billing compliance.
High school diploma or equivalent.

Preferred Qualifications

Experience in an orthopedic, rehabilitation, or DME/HME setting.
Prior experience as a senior or lead collector, or mentoring other collectors.
Proficiency with billing systems and Microsoft Excel.

How to Apply

Qualified candidates are encouraged to apply with a current resume. Applications will be reviewed on a rolling basis.

VQ OrthoCare is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Quick Apply

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collection agent jobs in vista, ca

Collections Manager

As-Needed Collections System Worker

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Manager, Credit & Collections

Assistant Showroom Manager (Full time) - Collection at UTC

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