Medical Collector

3 weeks ago

Costa Mesa, United States Global HIT Full time

Our esteemed hospital client is looking for a **Medical Collector II **to support their medical Office in **Costa Mesa, CA. **for **a 3+month contract**

**Address**: 2995 Red Hill Ave Costa Mesa, CA. 100% ONSITE.

**Notes**:
100% onsite. Minimum of 50 claims per day doing insurance AR follow up -Certifications needed? High School Diploma and minimum of 3 years’ experience doing AR follow up

**Duties**:
Job Summary:
The Collector serves as the account representative for 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 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 Bene?ts (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of bene?t 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 me 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.
- Consistently meets individual productivity and quality assurance standards In addition to the above, the Collector II demonstrates profciency in the functions mentioned above.
- Assists in multiples areas, payors or departments.
- Assist with special projects and/or additional tasks as needed.
- Able to problem solve issues as they arise and independently research as needed for resolution.
- Provides support and assists with training of peers as needed.
- Exceeds individual productivity and quality assurance standards for at least 6 consecutive months.
- No corrective action within the last 6 months.

**Skills**:
Required Skills & Experience:

- Three years of experience in a hospital/medical and/or related or strong background in customer service.
- Working knowledge of Epic Resolute, Eric Care, and Epic CPOE.
- Intermediate Excel knowledge is a must.
- Diversity
- Technology & Equipment Skills
- Interpersonal Skills
- Job Knowledge
- Oral/Written Communication
- Travel
- Organization Behavioral Competencies
- BUSINESS ACUMEN
- CUSTOMER SATISFACTION
- INNOVATION
- TRUST & ACCOUNTABILITY

**Education**:
Required Education:

- High school diploma or equivalent required.

**Job Types**: Full-time, Contract

Pay: $19.00 - $23.00 per hour

**Benefits**:

- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

Work setting:

- Office

**Education**:

- High school or equivalent (required)

**Experience**:

- Epic EMR: 3 years (required)
- Medical A/R: 3 years (required)
- Medical Collections: 3 years (required)
- Healthcare insurasnce payors: 3 years (required)

Ability to Commute:

- Costa Mesa, CA 92626 (required)

Work Location: In person

  • Medical Collector

    6 days ago

    Costa Mesa, United States Global HIT Full time

    Overview: We are seeking a detail-oriented and experienced Medical Collector to join our team. As a Medical Collector, you will be responsible for ensuring the timely and accurate collection of medical payments from patients and insurance companies. This is a vital role in our organization, as it directly impacts our financial success and the overall...

  • Medical Collector

    2 weeks ago

    Costa Mesa, United States Peregrine Team Full time

    Job DescriptionJob DescriptionPeregrine 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/hourJob Duties: The Collector serves as the account representative for the hospital in working with insurance companies, government payors, and/or patients for...

  • Medical Collector

    3 days ago

    Costa Mesa, United States Peregrine Team Full time

    Job DescriptionJob DescriptionPeregrine 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/hourJob Duties: The Collector serves as the account representative for the hospital in working with insurance companies, government payors, and/or patients for...

  • Medical Collector

    2 weeks ago

    Costa Mesa, United States Peregrine Team Full time

    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/hourJob 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...

  • Collector

    1 month ago

    Costa Mesa, United States Peregrine Team Full time

    Job DescriptionJob DescriptionPeregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.  $26 - $32/hourJob 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...

  • Collector

    3 days ago

    Costa Mesa, United States Peregrine Team Full time

    Job DescriptionJob DescriptionPeregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.  $26 - $32/hourJob 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...

  • Collector

    2 weeks ago

    Costa Mesa, United States Peregrine Team Full time

    Peregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.  $26 - $32/hourJob 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...

  • Collector/medical Collections Specialist

    3 days ago

    Costa Mesa, United States Peregrine Team Full time

    Peregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with full benefits and competitive pay. **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. -...

  • Collector II

    3 weeks ago

    Costa Mesa, United States PRIDE Healthcare Full time

    Job DescriptionJob DescriptionCollector IIPride Health is seeking a Collector for one of the large health systems based out of Costa Mesa, California.Location – Costa Mesa, California– 92626Pay range - $24 - $28 per hour.Length of assignment – 3 months (With Possible extension)Shift – Monday-Friday 1st shift.Job SummaryThe Collector serves as the...

  • Medical Collections Specialist

    3 days ago

    Costa Mesa, United States Peregrine Team Full time

    Job DescriptionJob DescriptionPeregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.  $26 - $32/hourJob 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...

  • Medical Collections Specialist

    2 weeks ago

    Costa Mesa, United States Peregrine Team Full time

    Job DescriptionJob DescriptionPeregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.  $26 - $32/hourJob 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...

  • Collector Medical Billing and Insurance

    3 days ago

    Costa Mesa, United States Glocal RPO Full time

    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). - eviews and completes payor and/or patient correspondence in a timely manner. Escalates to the payor and/or patient...

  • Medical Billing and Collections and Accounts Receivables Specialist

    4 weeks ago

    Mesa, United States TTF Recruitment Full time

    TTF is recruiting for an EXPERIENCED A/R Representative in the Mesa area. The starting pay is $18.00-$21.00per hour, DOE. This is a full-time, Monday-Friday position, working 8:30am-5:00pm. Qualified candidates must have experience with medical billing, physician collection, claim denials, and claim resubmissions in a high-volume healthcare setting for...

  • Medical Assistant

    4 days ago

    Mesa, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is recruiting a Back Office Medical Assistant for a well-respected healthcare company in Mesa, AZ. This position offers full benefits and a competitive salary range.Job duties will consist of rooming patients, taking vitals, minor procedures, and additional front office/back office duties. Must be able to travel to different...

  • Medical Assistant

    3 weeks ago

    Mesa, United States TTF Full time

    Job DescriptionJob DescriptionTTF is recruiting a Back Office Medical Assistant for a well-respected healthcare company. This position offers full benefits and a competitive salary range.Job duties will consist of rooming patients, taking vitals, minor procedures, and additional front office/back office duties. Must be able to travel to different...

  • Back Office Medical Assistant

    1 month ago

    Mesa, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is recruiting a Back Office Medical Assistant for a well-respected healthcare company. This position offers full benefits and a competitive salary range.Job duties will consist of rooming patients, taking vitals, minor procedures, and additional front office/back office duties. Must be able to travel to different locations...