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Medical Collector Jobs in Riverside, CA (NOW HIRING)

The Major Medical Collector is responsible for overseeing accounts receivable and collections for a home health agency and specialty pharmacy. This role ensures timely reimbursement from insurance ...

The Major Medical Collector is responsible for overseeing accounts receivable and collections for a home health agency and specialty pharmacy. This role ensures timely reimbursement from insurance ...

Collector

San Bernardino, CA · On-site

$19.50 - $25.75/hr

The Collector performs A/R collections and billing via assigned special projects, involving ... Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and ...

Collector

San Bernardino, CA · On-site

$19.50 - $25.75/hr

The Collector performs A/R collections and billing via assigned special projects, involving ... Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and ...

Collector

San Bernardino, CA · On-site

$25.12 - $27.73/hr

The Collector performs A/R collections and billing via assigned special projects, involving ... Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and ...

Collector

San Bernardino, CA · On-site

$19.50 - $25.75/hr

The Collector performs A/R collections and billing via assigned special projects, involving ... Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and ...

Collector

Colton, CA · On-site

$24.26/hr

The Collector must be able to handle this information with the highest degree of privacy, discretion, and professionalism. The Collector is responsible for accomplishing the duties set forth below:

Collector

Colton, CA · On-site

$17.25 - $23.25/hr

The Collector must be able to handle this information with the highest degree of privacy, discretion, and professionalism. The Collector is responsible for accomplishing the duties set forth below:

Collector

Colton, CA

$17.25 - $23.25/hr

The Collector must be able to handle this information with the highest degree of privacy, discretion, and professionalism. The Collector is responsible for accomplishing the duties set forth below:

Collector 2

San Bernardino, CA · On-site

$25.88 - $28.57/hr

The Collector 2 analyzes and interprets Managed Care contract language, terms, conditions and ... medical groups, outside hospitals, and physician's offices to ensure timely payments for inpatient ...

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Medical Collector information

See Riverside, CA salary details

$12

$21

$28

How much do medical collector jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for medical collector in Riverside, CA is $21.90, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $25.10 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medical Collector, and why are they important?

To thrive as a Medical Collector, you need strong knowledge of medical billing, insurance claims processing, and healthcare regulations, typically supported by experience in healthcare administration or finance. Familiarity with billing software, electronic health records (EHR), and claim management systems is essential, and certifications like Certified Revenue Cycle Specialist (CRCS) can be beneficial. Excellent communication, negotiation, and problem-solving skills set top performers apart when interacting with patients and insurance companies. These abilities are crucial for ensuring accurate collections, minimizing claim denials, and maintaining positive financial outcomes for healthcare organizations.

What is the difference between Medical Collector vs Medical Biller?

AspectMedical CollectorMedical Biller
CredentialsHigh school diploma; some certifications preferredHigh school diploma; certifications like CPC beneficial
Work EnvironmentHealthcare offices, hospitals, clinicsHealthcare offices, hospitals, billing companies
Job FocusCollecting payments, following up on overdue accountsCreating and submitting claims, processing payments
Common UsageDebt collection, patient account follow-upClaims processing, billing management

Medical Collectors primarily focus on recovering overdue payments by contacting patients or insurers, while Medical Billers handle the creation and submission of claims to insurance companies. Both roles work closely within healthcare revenue cycle management but have distinct responsibilities and skill sets.

What Is a Medical Collector?

A medical collector is responsible for handling health care-related debt. Your duties are to collect information related to a patient’s overdue insurance or medical bill and then work with the patient in determining a repayment plan. You may work for a health care provider or for a collection agency that handles medical debt collection. Qualifications for the job include a high school diploma, strong accounting and math skills, ability to perform account research, and experience with negotiating repayment. Some postsecondary coursework in insurance, business, and finance may improve your career opportunities.

What are Medical Collectors?

Medical Collectors are professionals who work for healthcare providers, billing companies, or collection agencies to recover payments for medical services rendered. They contact patients or insurance companies to resolve outstanding balances, set up payment plans, and ensure accounts are paid according to established policies. In addition to communication, they often review billing records, verify insurance coverage, and follow legal and ethical guidelines for debt collection in the healthcare industry.

What are some common challenges faced by Medical Collectors and how can they be managed?

Medical Collectors often encounter challenges such as navigating complex insurance policies, managing denied claims, and communicating with patients about outstanding balances. Staying organized and keeping up-to-date with changing healthcare regulations are essential for success. Building strong relationships with insurance representatives and developing effective negotiation and customer service skills can help Medical Collectors resolve issues efficiently and maintain positive interactions with patients and payers.
What cities near Riverside, CA are hiring for Medical Collector jobs? Cities near Riverside, CA with the most Medical Collector job openings:
Infographic showing various Medical Collector job openings in Riverside, CA as of July 2026, with employment types broken down into 48% Locum Tenens, 35% Full Time, 16% Part Time, and 1% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $45,546 per year, or $21.9 per hour.
Medical Collector

$52K - $65K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

Overview
Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Medical Collector in Anaheim, CA.
The Revenue Recovery Analyst identifies, collects, and determines root causes of underpaid claims by auditing payor performance and analyzing actual payments of payors to ensure contract compliance, which is operationally critical and sensitive in nature. The Revenue Recovery Analyst will support the RCM collection team with training and escalated claim follow-up. The Revenue Recovery Analyst performs payment variance deep dive and review activities related to the incorrect processing of claims across PPOSBC. This position will focus on the resubmission, reprocessing, and correcting of denied or rejected/exhausted insurance claims (2nd Level) as well as all high-volume facilities, top payors, and high-level, complex claim issues.
At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including:
  • A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability.
  • Benefits coverage starts after one full month of employment!
  • Generous vacation, sick, and holiday benefits!
  • Generous 401(k) matching contributions and more!
  • To view our detailed benefits guide, please visit our career site at www.pposbccareers.org

Qualifications
Licensure and/or Certification Requirements:
  • Coding certificate is a plus.

Minimum Education:
  • Associate's Degree required in related field.
  • Bachelor's Degree preferred or equivalent experience in related field.

Minimum Work Experience:
  • A minimum of 5 years of experience as a medical biller/claims follow-up specialist or collections specialist in an outpatient medical setting (non-hospital) in primary care (required), family planning, ob-gyn, and related surgeries.
  • Advanced knowledge of medical terminology and common industry abbreviations, anatomy and physiology, pharmacology, and pathophysiology.
  • Knowledge of payor guidelines, industry billing, and coding standards, and Medi-Cal denials reason codes.
  • Computer database management (electronic practice management system). EclinicalWorks/NextGen experience preferred.
  • A minimum of 5 years of experience with insurance billing, coding, and reimbursement procedures.
  • A minimum of 5 years of experience with HIPAA 5010 transaction standards.
  • A minimum of 5 years of experience claims follow-up/appeals and health plan Accounts Receivable management for specific payors.

Other Requirements:
  • Ability to successfully communicate with payors, including insurance companies, health plans, and medical groups, regarding unpaid claims. Knowledge of CPT4/HCPCS and ICD10 coding and billing guidelines.
  • Advanced knowledge of Medi-Cal Managed Care, Commercial Payors, Medi-Cal, FPACT, & PE.
  • Advanced knowledge of health care and Medi-Cal denial reasons, denials codes and descriptions, and standard denial resolution practices.
  • Ability to judgment independently as to compare actual reimbursement to expected reimbursement, reviewing managed care contract terms, claims billing and clinical information to effectively reconcile underpaid accounts and maintain documentation to support this activity.
  • Expert knowledge of health care reimbursement and contracting and the use of deductive reasoning, negotiating skills, and collaborative skills to uncover and recover payment discrepancies in a complex system and complex payor environment.
  • Strong verbal and written communication skills are essential.
  • Ability to demonstrate mature judgment, initiative, and critical thinking.
  • Strong follow-up skills and time management with internal and customer stakeholders.
  • Ability to maintain confidentiality.
  • Accuracy and attention to detail is essential.
  • Availability to work flexible hours, including weekends.

Agency Standard Requirements:
  • Strong commitment to quality healthcare and excellent customer service is required.
  • Must thrive in a fast-paced, rigorous environment with changing priorities.
  • Ability to meet deadlines and work under pressure.
  • Must demonstrate high-level computer skills, including Microsoft Word, Excel, and Outlook. Electronic medical records experience may also be required.
  • Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPOSBC locations and by all PPOSBC employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees.

Responsibilities
Essential functions encompass the required tasks, duties, and responsibilities performed as part of the job and the reason the job exists.
  • Utilize independent judgment and exercise discretion to ensure timely review and auditing of underpaid claims.
  • Analyze, collect underpayments, and resolve claims with discrepancies from expected payment to ensure payors are in payment compliance with their contracted terms.
  • Compile billing and payor documentation to create training documents.
  • Initiate and follow through with all relevant parties to ensure corrective actions are implemented (i.e., pursue underpayments, adjust expected reimbursement, address billing issues, negotiate settlements, etc.) according to payor specific processes.
  • Respond to payment discrepancies by creating appeal letters and articulating contract provisions to representatives from third-party payors. Work directly with payor to recover payments.
  • Quantify payor trends and maintain productivity and accuracy standards in a highly challenging environment. Prepare second-level appeals, recoveries, and potential settlements.
  • Ability to extrapolate complex claims data and payer information to accurately report trends and payor behaviors.
  • Develops dashboards and reports on key performance indicators, metrics, data points, and formulas to support management objectives.
  • Extract, load, and reconcile large data sets from multiple system platforms and sources.
  • Review data to determine operational impacts, trends, and areas for improvement.
  • Follow up on claim submissions to determine batch acceptance, rejection, or denial in a timely manner.
  • Research, correct, resolve, resubmit, and appeal denied claims/services. Correspond with insurance companies to resolve issues; submit appeals per payor requirements.
  • Maintains collections rate for assigned payors at or above 70% of allowed charges.
  • Communicate with RCM leadership about payor updates, changes, and requirements.
  • Sort and file paperwork from health plans, patient charts, and payment correspondence.
  • Update Division of Financial Risk (DOFR) quarterly with staff and report issues to Manager.
  • Support the team in their efforts to provide payors with information or documentation necessary for payment of claims and/or any other account follow-up required to recover payment within a required timeframe.

Non-Essential Functions:
  • Other duties as assigned.

CORE COMPETENCIES - WE CARE:
  • Welcoming: Anticipates customer requirements and gives high priority to customer satisfaction and service. Handles problems quickly and efficiently. Maintains a pleasant, positive and professional approach. Embraces opportunities to help team members, stakeholders, and other departments.
  • Equitable: Creating equitable access and opportunity for all through education, practicing inclusive behavior, elevating others' voices, creating spaces for honest conversation, and listening without judgment. Values and uplifts our collective diversity within in our agency.
  • Confidential: Respects the information shared by our patients, employees, and vendors and maintains appropriate confidentiality. Follows all policies and laws that protect private & privileged information.
  • Accessible: Is available and approachable to others, open-minded, fair and non-defensive. Appreciates constructive feedback and is a team player. Demonstrates good listening skills.
  • Respectful: Values diversity and treats everyone with dignity and courtesy. Dependable and courteous of other people's time and commitments.
  • Empathetic: Demonstrates interest and understanding in other people's feelings, attitudes and reasoning. Maintains an open and non-judgmental demeanor that is patient, flexible, and understanding.

Disclosures
Planned Parenthood/Orange and San Bernardino Counties is an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, equal pay, age, disability, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military, veteran status or any other federal or state protected class. We are committed to building and maintaining an inclusive workplace that values diversity, equity, and inclusion.
Minimum Salary Range
USD $52,000.00/Yr.
Maximum Salary Range
USD $65,000.00/Yr.