This listing was posted on The Resumator.
Medical Collector
Location:
Costa Mesa, CA
Description:
Peregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract to hire role with full benefits and competitive pay. $26 - $32/hour Job Duties: The Collector serves as the account representative for the hospital in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution.Completes assigned accounts within assigned work queues.Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG).Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to the hospital.Reviews and completes payor and/or patient correspondence in a timely manner.Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments.Reports new/unknown billing edits to direct supervisor for review and resolution.Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections), including procedures and policies.Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements.Interprets Explanation of Benefits (EOBs) and Electronic Admitt ance Advices (ERAs) to ensure proper payment as well asassist and educate patients and colleagues with understanding of benefit plans.Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation,commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.Demonstrates knowledge of and effectively uses patient accounting systems.Documents all calls and actions taken in the appropriate systems.Accurately codes insurance plan codes.Establishes a payment arrangement when patients are unable to pay in full at the time payment is due.May review for applicable cash rates, special rates, applicable professional and employee discounts.May process bankruptcy and deceased patient accounts. Performs other duties as assigned. Qualifications: High school diploma or equivalent - Required One year of previous hospital business experience, or equivalent required or strong background in customer service - Required Basic experience with insurance plans, hospital reimbursement methodology, and/or ICD10 and CPT coding - Required Medical billing collector experience and excellent customer service skills - Required Experience with EPIC - Required Shift: 40 hours- 5x8 Email your resume to XXXX@PeregrineTeam.com ASAP or apply here for consideration. Powered by JazzHR
Company:
Peregrine Team
Posted:
January 2 on The Resumator
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More About this Listing: Medical Collector
Medical Collector is a Clerical Medical Biller Job at Peregrine Team located in Costa Mesa CA. Find other listings like Medical Collector by searching Oodle for Clerical Medical Biller Jobs.
Medical Collector is a Clerical Medical Biller Job at Peregrine Team located in Costa Mesa CA. Find other listings like Medical Collector by searching Oodle for Clerical Medical Biller Jobs.