Medical Collector - Appeals Experience

North Hollywood, CA 91602

Posted: 08/30/2018 Profession: Medical Collector Job Number: 43673

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.

Qualifications:

  • 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

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