Job Description

Job Description

Position: Medicare & Medi-Cal Collector

📍 Confidential Healthcare System – Covina, CA (100% on site with lots of space in the office and great colleagues).

💼 Full-Time | $25-32/hr DOE and Education

At MatchBukh Talent Solutions, we match mission-driven healthcare professionals with equally mission-driven organizations. We are confidentially seeking an experienced Hospital Medicare and Medi-Cal Collector with strong denial management skills, particularly with Medi-Cal Managed Care plans and UB-04 claims .

If you’re an assertive, analytical collector who thrives on resolving complex denials and aged hospital claims with minimal guidance, we want to hear from you.

🔍 Key Responsibilities

• Conduct follow-up on aged hospital accounts submitted on UB-04 forms to Medicare and Medi-Cal Managed Care plans.
• Research partial payments, vague denial codes, and non-covered charges using payer web portals and direct phone outreach.
• Review and interpret RA/EOB statements to determine appropriate actions for unresolved balances.
• Submit appeal letters and PDRs to challenge improper denials and recover payment.
• Log into health plan portals to identify, escalate, and resolve claim issues requiring modifiers or documentation.
• Make judgment calls on when and how to rebill claims, escalate denials, or apply adjustments.

✅ Must-Have Experience

• Strong Medi-Cal Managed Care denial management experience —understands when and how to challenge denials.
• Facility billing (UB-04) required —candidates without this experience will not be considered.
• Knowledge of CMS-1500 forms is a bonus, but not sufficient on its own.
• Proficiency in CPT codes, HCPCS, and modifiers —able to identify billing opportunities and prevent denials.
• Proven appeals/PDR submission experience—able to recover payment through proper follow-up and documentation.
• Ability to read and analyze Remittance Advice (RA) and Explanation of Benefits (EOB) .
• Strong understanding of payer portals , denial trends, and how to escalate effectively.

🌟 What Sets You Apart

• You’ve worked for a hospital, health system, or provider group that bills primarily on UB-04.
• You’re not intimidated by offshore call centers or vague payer explanations—you know your rights and the billing rules.
• You're proactive, highly organized, and require minimal training.

🕐 Schedule & Environment

• Full-time | Monday–Friday, can start as early as 7am.
• Strong attendance and self-management required

💡 Ready to Hit the Ground Running?

This is an immediate need and a high-impact role . If you’re looking to bring your hospital billing expertise to a mission-aligned healthcare team in Covina, CA, we want to connect with you.

Equal Opportunity Statement

MatchBukh Talent Solutions and our client are vibrant and inclusive organizations committed to providing equal opportunities to all employees and applicants for employment. We celebrate diversity and are committed to creating an inclusive environment for all. We strongly encourage applications from all qualified individuals, regardless of race, ethnicity, religion, gender, sexual orientation, age, or disability.

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