Medical Collector Specialist

2 weeks ago


Reseda, California, United States Global Management Solutions, Inc Full time
Job Summary

The Medical Collector is a key member of our team at Global Management Solutions, Inc., responsible for collecting outstanding balances from insurance entities, Medicare / Medi-Cal and private pay sources. This role requires a strong understanding of medical collection practices, billing requirements, and medical terminology.

Responsibilities
  • Review patient records to determine collection activities and processes.
  • Communicate with payor sources to ensure timely payments of claims and meet all deadlines.
  • Maintain accurate records and prepare reports as requested.
  • Research patient insurance information and update billing details.
  • Submit timely appeals and follow up on claims at various stages of the collection process.
  • Document all collection efforts in accordance with company policies and procedures.
  • Participate in in-services and staff meetings to stay up-to-date on collections processes, billing systems, and practices.
  • Protect patient confidentiality and maintain the integrity of financial and other records.
  • Perform other tasks as assigned by management.
Requirements
  • High school diploma or equivalent.
  • One year of experience in medical collections and a general understanding of collection and billing practices.
  • Knowledge of medical collection practices, billing requirements, medical terminology, and hospice and palliative care services.
  • Valid Driver's License and auto insurance.


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