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Robert Half Medical Billing Collections Specialist in Los Angeles, California

Description

A Healthcare Organization near Downtown LA is hiring a Medical Billing Collections Specialist. The Medical Billing Collections Specialist is responsible for the reviewing, noting, and distributing correspondence, insurance follow up when appropriate for correct payer information for denials, refund requests for the Billing team, and AR special collection projects as assigned. The Medical Billing Collections Specialist must have at least 2 – 3 of experience.

Duties:

  • Demonstrated experience various payors – Family PACT, Medi-CAL, HMOs, IPAs, PPOs, POS, EPO, Medicare, etc.

  • Demonstrated knowledge of how to research and correct Credit Balances.

  • Responsible to review and correct the “Front End Errors” report and re-submit all encounters to the correct payer.

  • Receives, researches and corrects all incoming denials and correspondence due to incorrect eligibility/registration.

  • Documents all follow-up findings and re submission efforts in the patient’s EPM chart.

  • EOB / correspondence batch control number must be first documented before comments for audit purposes.

  • Processes Refund requests when applicable on incoming mail and for the Billing team as requested.

  • Identify patterns and trends from payers and make recommendations for improvement or actions to improve the position in maximizing revenue.

    Requirements

Medical Billing Appeals, Billing Functions, Claim Administration, Medical Collection Processes, Collector

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