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Full-time
Flexible schedule, Health insurance, Paid time off, Vision insurance
Posted 36d ago
~40 hrs/week
Responsibilities
The agent is responsible for managing insurance collections, resolving denied or underpaid claims, and maintaining accurate AR records. They also handle patient collections, set up payment arrangements, and ensure all activities comply with HIPAA regulations.
Requirements
Candidates must have experience in medical billing, coding, and denial management, along with proficiency in EHR systems. Strong analytical, communication, and negotiation skills are required to effectively manage insurance and patient accounts.
Full job description
Job description:
Key Responsibilities: Insurance Collections & AR Follow-Up
Review aging reports to identify unpaid or underpaid claims.
Contact insurance companies via phone, portal, or written correspondence to resolve outstanding claims.
Follow up on denied or rejected claims and take corrective action (appeals, resubmissions, corrections).
Track claim status until full payment is received.
Escalate complex claims to supervisors when necessary.
Patient Collections
Reach out to patients regarding outstanding balances in a professional and empathetic manner.
Set up payment arrangements or explain billing statements.
Document patient communications and payment commitments.
Denial Management
Investigate reasons for claim denials or partial payments.
Correct claim errors and resubmit timely.
File appeals with insurance carriers as needed.
Collaborate with the billing/coding team to prevent recurring denials.
Documentation & Reporting
Maintain accurate and detailed notes of all collection activities.
Update patient accounts and AR records in the billing system.
Generate and review AR and collection reports for management.
Meet monthly collection goals and performance metrics.
Compliance & Customer Service
Ensure all collection activities comply with HIPAA and healthcare regulations.
Maintain professionalism and confidentiality in patient/insurance interactions.
Provide excellent customer service to patients and insurance representatives.
Skills & Qualifications
Knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and insurance guidelines.
Experience with claim follow-up, AR management, and denial resolution.
Strong communication and negotiation skills.
Ability to analyze EOBs (Explanation of Benefits) and remittance advice.
Proficiency with billing software and electronic health record (EHR) systems.
Attention to detail, persistence, and time management skills.
Performance Metrics (KPIs)
AR days outstanding (reduce aging over 90/120 days).
Percentage of claims collected.
Denial overturn rate.
Collection call volume and productivity.
Patient satisfaction in billing interactions.
Job Type: Full-time
Benefits:
Flexible schedule
Health insurance
Paid time off
Vision insurance
Related keywords
Medical billingCodingICD-10CPTHCPCSInsurance collectionsAR managementDenial managementEOBRemittance adviceEHRHIPAAHealthcare regulationsClaims processingPatient collectionsAging reports
How many Administrative jobs are open in Irvine, CA right now?
There are currently 807 open administrative positions in Irvine, CA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Irvine, CA?
Companies currently hiring include UCI Health, Hoag Health System, Glidewell Dental, City of Hope, Irvine Company, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Irvine, CA?
Yes — 152 of the 807 open administrative positions offer remote or hybrid work (33 remote, 119 hybrid).
How do I apply for Administrative jobs in Irvine, CA?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.