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Hmo Collector

1 month ago

Long Beach, United States US Skilledserve Full time

Expertise of different billing systems, including HMO, and Advantage care.
- Complete knowledge of various codes—ICD-9, Procedure, Revenue, Rug Level and Condition
- Understanding contract fundamentals and skilled at negotiation
- Proficient at computer programs—Excel, Word, billing, etc. and the 10-key calculator
- Accurate and detail-oriented
- Present in the office during core 8am-5pm business hours of normal operating work week unless alternate schedule pre-approved by Supervisor.
- Notify Supervisor by phone of absence on a scheduled workday.
- Conduct Account Receivable reviews, monthly to bimonthly, as indicated:

- Advise and support assigned bookkeepers to handle billing questions and problems; correctly adjust claims; cash receipts posting, etc.
- Follow up and collect reimbursement for assigned facilities.
- HMO aging review with collections with supervisor bimonthly.
- Monitor HMO credit balances at assigned facilities on a monthly basis for adjustments/refunds.
- Research and prepare refunds for assigned facilities.
- Assist with information needed for HMO audits.
- Attend workshops/seminars to keep current with regulations, procedures as indicated.
- Must be a team player and work professionally with others

Must be able to lift, push and carry at least 30l

Pay: $18.00 - $24.00 per hour

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

**Education**:

- High school or equivalent (preferred)

**Experience**:

- ICD-10: 1 year (preferred)
- Medical Billing: 1 year (preferred)

Work Location: In person

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