Role OverviewThe Workers' Compensation Collections Specialist is responsible for collecting outstanding accounts receivable for psychological treatment and medical-legal services. This position requires strong knowledge of California workers' compensation billing and collections, including follow-up with insurance carriers, documentation review, denial resolution, payment reconciliation, and account resolution.
What You Will Do
Monitor assigned workers' compensation accounts receivable, review aging reports, contact insurance adjusters, research payment delays, submit appeals, prepare and send demand letters, and document all collection activity thoroughly.
Why It Might Be a Fit
The ideal candidate is persistent, organized, analytical, and comfortable communicating with insurance adjusters, hearing representatives, attorneys, and internal staff.
Requirements
- Minimum 2 years of workers' compensation collections experience
- Knowledge of California Workers' Compensation billing processes
- Experience working with insurance carriers and TPAs
- Familiarity with medical billing, CPT codes, and payment reconciliation
- Experience reviewing EOBs and denial letters
- Strong negotiation and communication skills
- Excellent organizational and time-management abilities
- Ability to manage a high-volume caseload independently
- Proficiency with Microsoft Excel and practice management software
- Bilingual English/Spanish preferred but not required
Benefits
- Competitive salary based on experience
- Paid time off
- Health, dental, and vision benefits
- Retirement plan
- Opportunities for professional growth
- Supportive team environment
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