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This position is responsible for ensuring accuracy in insurance claim follow-up, root cause analysis, appeals and denial management. The Collector is highly attentive to detail, organized, process-driven, collaborative, and possesses strong time management skills.
Pay rate: $28-$30/hr
Location: Laguna Hills
Schedule: Full time
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Completes accurate and timely follow up with responsible third-party payer for outstanding accounts receivables
- Research claim denials and rejections, documenting all relevant actions for audit and tracking and taking appropriate steps towards claim resolution
- Write and file appeals as appropriate
- Develops expertise and payer specific knowledge on all aspects of medical claim collections
- Identify and report collection trends and/or issues resulting in delayed claim adjudication
- Interpret explanation of benefits for accuracy and correct payer adjudication
- Ability to prioritize workload and identify key projects that will result in reduction of outstanding accounts receivable
- Collaborate with RCM leadership to implement collection strategies achieving department goals
- Other projects as assigned
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