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Medical Collector - Appeals Experience
North Hollywood , CA 91602
Posted 2 months ago
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Our client is searching for a Medical Collector for their office in Canoga Park and North Hollywood. If you are seeking a full time position working for a well-established medical group, this is the opportunity for you!
Company provides a fun team environment with employee activities, rewards, and community involvement opportunities.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Performs diligent follow up, collection and appeals processes to attempt to receive payment on outstanding claims items.
Identifies revenue improvement opportunities, monitors accounts receivable growth and keeps it in established ranges.
Proper collections follow-up must be performed.
Ensures that all denials are researched and followed-up with the maximum collection efforts to ensure payment is received.
Responsible for completing tasks thoroughly and accurately to ensure the task is not returned back for re-work.
Responsible for completing tasks thoroughly and accurately to ensure there are little or no write offs of tasks.
Identify trends and issues with workloads and payers and maintains high level of quality.
Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and self-pay payers.
Responsible for all daily, weekly, and monthly reporting requirements.
Coordinates with and provides feedback to other CBO and Receivables Management team members regarding errors that effected reimbursement and facilitates solutions.
Maintains ongoing knowledge of HCFA 1500 and other mandatory state billing forms and filing, HIPAA, and follow up requirements and ensures compliance of CPT, HCPCS and ICD-9 coding regulations and guidelines.
Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.
Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
Demonstrates ongoing enthusiasm and commitment to the work assigned.
Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria.
Seeking a professional individual with strong communication skills, ability to work under pressure, and strong collections experience
A minimum of 2 years collections experience with HMOs, PPOs
Prior experience in a surgery center is preferred, but not required
Pay Range: $17- $19.50 per hour DOE