Collection Representative

Join a team that's shaping the future of pediatric care. Children’s Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more than 350 specialized programs and services. Here, world-class experts in medicine, research, and education work together to deliver family-centered care to more than 155,000 patients each year. At CHLA, your work will help build brighter tomorrows for the children and families we serve.

**This position is Hybrid: 1 day on-site, 4 days remote, with flexibility to vary.**

Schedule: Monday-Friday, 9:00 AM-5:30 PM

Purpose Statement/Position Summary: The Collection Representative is responsible for the billing and follow-up related to HMO's, PPO's, Medi-Cal, CCS, GHPP, PCCM's Managed Care and outside organizations. Responds to inquiries and resolves problems regarding billing and collection matters. The Collection Rep will analyze financial documents, identify discrepancies, and resolve billing issues. Will need strong problem-solving skills to help in effectively managing accounts and ensuring timely collections. Will be responsible for ensuring accuracy in billing and collections. Strong organizational skills are required to manage multiple accounts, prioritize tasks, and meet deadlines efficiently.

Minimum Qualifications/Work Experience:

Required:

• 1 year experience of hospital Billing and Collections required, including insurance and government payers.

Preferred:

• Previous experience with facility claims for inpatient and or outpatient billing for commercial and managed care payers.
• Familiarity with medical billing processes, insurance claims, and understanding of medical coding (such as ICD-10, CPT).
• Experience with electronic health record (EHR) systems and billing software.
• Knowledge of CCS, Medi-Cal, and GHPP.

Education/Licensure/Certification:

Required:

• High School Diploma, GED, or equivalent required.

Preferred:

• Certificate or degree in healthcare background.

CHLA is a leader in pediatric and adolescent health, in our community, across the nation, and around the world . As a premier Magnet®-recognized teaching hospital, CHLA offers an environment rooted in learning, collaboration, and compassionate care. . We are home to groundbreaking research, clinical innovation, and a culture that supports personal and professional growth.

Since 1932, CHLA has been affiliated with the Keck School of Medicine of the University of Southern California. Through this partnership and our own enduring mission, we remain committed to creating hope and building healthier futures.