Hospital Collections Specialist - 252040
Location: Hollywood, Los Angeles
Schedule: Monday–Friday | 8:00 AM–5:00 PM
Employment Type: Contract-to-Hire
About the Opportunity
We are seeking an experienced Hospital Collections Specialist to join a growing Revenue Cycle team within a dynamic healthcare organization. This is an excellent opportunity for a collections professional with strong hospital A/R experience who thrives in a high-volume, process-driven environment and is looking to grow with a team under strong new leadership.
This role is ideal for someone who understands payer follow-up, claim resolution, reimbursement processes, and how to work aged accounts efficiently while maintaining professionalism with both payers and patients.
Position Summary
The Hospital Collections Specialist is responsible for managing outstanding hospital accounts receivable through proactive insurance and patient follow-up, claims recovery, documentation submission, and reimbursement resolution. This individual will work high-volume account queues, communicate directly with payers and patients, and help drive timely collections while reducing aging A/R.
Key Responsibilities
- Perform high-volume outbound follow-up with insurance carriers, third-party payers, and patients to secure payment on outstanding hospital accounts
- Review and resolve aged accounts receivable by identifying barriers to reimbursement and taking appropriate next steps toward resolution
- Independently prioritize and manage daily work queues to maximize account recovery and reduce account aging
- Research claim status, payer denials, underpayments, and payment delays to ensure timely follow-up and resolution
- Gather, prepare, and submit required clinical and administrative documentation to support claims adjudication and reimbursement
- Communicate professionally with insurance representatives and patients regarding balances, claim status, eligibility, and payment requirements
- Serve as a liaison between the healthcare facility and external payers to navigate reimbursement guidelines and coverage requirements
- Maintain accurate and timely documentation of account activity, follow-up efforts, and claim outcomes within the billing system
- Adhere to departmental productivity standards, standard operating procedures, and compliance expectations
Required Qualifications
- Minimum 3 years of hospital collections experience
- OR
- 5+ years of revenue cycle experience within a healthcare or clinical setting
- Strong understanding of hospital billing, collections, insurance follow-up, claims resolution, and payer reimbursement processes
- Working knowledge of medical terminology and payer-specific requirements
- Familiarity with government and commercial payers, including state and federal assistance programs
- Strong verbal and written communication skills with the ability to professionally negotiate and resolve account issues
- Ability to work effectively in a structured, high-accountability environment with established workflows and procedures
- High School Diploma or equivalent required
Preferred Qualifications
- Bilingual in Spanish
- Experience working in unionized or highly structured healthcare environments
- Strong background in hospital A/R follow-up, denials resolution, and reimbursement recovery
Why Join This Team?
- Contract-to-Hire opportunity with long-term potential
- Join a growing RCM team under new leadership with a strong vision for improvement and expansion
- Opportunity to contribute to a department that is actively evolving and building for future growth
- Comprehensive benefits available upon permanent hire
