Collector II

2 weeks ago

Costa Mesa, United States ICONMA Full time
Description:
The Collector serves as the account representative for Client in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution.
  • 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 Client.
  • 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 Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of benefit 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.

Required skills & experience:
  • Minimum of 3 years' experience doing AR follow up with 50 claims per day
  • Working knowledge of Epic Resolute, Eric Care, and Epic CPOE.
  • Intermediate Excel knowledge is a must.

  • 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 Collector

    3 days ago

    Costa Mesa, United States PRIDE Health Full time

    Pride Health is hiring a Collector for one of its clients in California. This is a 3-month contract with a possible extension with competitive pay and benefits. Location Costa Mesa, California 92626 Pay range - $24 - $28 per hour. Length of assignment 3 months(With Possible extension) Shift Monday-Friday 1st shift. Job Summary The Collector serves as the...

  • Hiring for Manager Accounting/Assistant Controller in Costa Mesa

    1 month ago

    Costa Mesa, United States eTeam Inc Full time

    Duties: Oversees daily operations of the accounting department that includes but not limited to Accounts Payable, General Ledger, Asset Management, Construction in Progress, and Accounts Receivable. Manages staff of Accounting Analysts I & II, Self-Pay Collector, and Accounts Payable. Ensures integrity of the financial statements which are critical to the...

  • Crew Chief

    3 weeks ago

    Mesa, United States EPS Group Full time

    **Join EPS Group - a top 10 firm in the Southwest - and discover opportunities to advance your career in engineering, planning, surveying, landscape architecture, and construction management, both in the private and public sectors. We're an Arizona-based company that fosters a culture of entrepreneurial spirit, elevated thinking, being team-minded, and...