Top rated specialty medical group in Laguna Hills, CA has an immediate opening for an experienced Medical Collector. Position is working all medical billing & collections for large General Surgery Medical Group.

Summary:

Must know how to navigate through insurance portals, process appeals and can have stern conversations with payers and discuss accounts with patients. Process a high volume of claims, payments and work with insurances. Job description Medical Collector opportunity in Laguna Hills for a high-volume Surgical Center. The Collector needs to have experience in payor websites and appeals. Monday thru Friday, 7:30 a.m. - 4:30pm, OR 8:30 a.m. -5:00 p.m. Paying $28-30hr

DOE ESSENTIAL DUTIES AND RESPONSIBILITIES

Primary functions are detail oriented to manage debit/credit account balances, patient balance resolution and non-patient (insurance) resolution. Accurate and timely follow up and resolution for all accounts receivable through auditing of accounts. Meeting and maintaining cash collection metrics and goals. Maximized facility reimbursement. Understands each payer contract and will utilize to ensure payments received are correct. Understands and can explain the Explanation of Benefits received from any payer. Works closely with payer provider relations representatives with online appeals input and monitoring. Handles contracted HMO, PPO, EPO, POS, Worker's Com., Medicare, self-pay and third party reimbursement issues and non-contracted LOAs. Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures. Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts. Follow center policies, procedures, and best practices for resolution and reassignment of accounts. Possess basic knowledge of medical terminology and health insurance billing. Have ability to communicate effectively with patient, physicians, and other teammates.

EXPERIENCE AND SKILLS

Experience with physician billing and collections 3+ years of success in medical billing and/or collections Intermediate level experience with Microsoft Word and MS Excel Excellent verbal and written communication skills. Exceptional people skills HALO Staffing Group, LLC.

Job Type:

Full-time Pay:

$28.00 - $30.00 per hour

Benefits:

Dental insurance Health insurance Paid time off Vision insurance

Experience:

ICD-10: 1 year (Preferred)

Work Location:

In person