Commercial Hospital Collections Representative

General InformationPress space or enter keys to toggle section visibilityWork Location: Los Angeles, CA, USAOnsite or RemoteFlexible HybridWork ScheduleMonday - Friday, 7:30 AM - 4:00 PMPosted Date11/25/2025Salary Range: $27.65 - 39.27 HourlyEmployment Type2 - Staff: CareerDurationIndefiniteJob #27712Primary Duties and ResponsibilitiesPress space or enter keys to toggle section visibilityAs a Commercial Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include:Conducting regular account reviews to identify outstanding balances.Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies.Diligently following up on claims to ensure timely resolution.Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues.Salary Range: $27.65 - $39.27 /hourlyJob QualificationsPress space or enter keys to toggle section visibilityWe are seeking a self-directed, detail-oriented individual with:High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigationExperience in commercial and managed care collections, highly desiredAbility to interpret payer contracts and process contractual adjustmentsIn-depth knowledge of UB04 requirements and medical billing processesStrong analytical skills and proven proficiency in Excel and spreadsheetsUnderstanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliationsExcellent verbal and written communication skillsProficiency in Microsoft Office, especially Excel and WordExceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectivelyAs a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

Created: 2026-03-04