Medical Collector Specialist

2 weeks ago


Los Angeles, California, United States Alura Workforce Solutions Full time
Job Title: Medical Collector

At Alura Workforce Solutions, we are seeking a highly skilled Medical Collector to join our team. As a Medical Collector, you will play a critical role in ensuring the smooth processing of cash receipts from automated and manual payers.

Key Responsibilities:
  • Coordinate and perform all aspects of cash receipt processing in accordance with training materials, scripts, and standard operating procedures.
  • Review overpayments, credits, and recoupments, and take necessary actions to resolve issues.
  • Make phone calls and/or use payers' web portals to check patient eligibility or confirm the status of pending recoupments.
  • Ensure timely posting and resolution of unapplied cash receipts.
  • Reverses balance to credit or debit if charges were improperly billed.
  • Communicate with insurance carriers to determine correct payment application.
  • Review correspondences related to refunds and/or recoupments.
  • Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.
Requirements:
  • Minimum 3 years of healthcare experience in insurance verification, cash posting, and refunds, with exposure to insurance verification, billing, or collections.
  • Knowledge of Medi-Cal and CCS payors required.
  • Familiarity with payer billing and reimbursement guidelines and regulations, including ability to read and interpret payer Explanation of Benefits (EOB) and Remittance Advice Details (RAD).
  • Proficient in all Microsoft Office software applications and EMR systems such as Athena.
  • Ability to communicate effectively in both written and verbal format with internal and external stakeholders.
  • Ability to organize and manage time effectively.
  • Handle, in a professional and confidential manner, all correspondence, documentation, and files following HIPAA and PHI guidelines.
  • Ability to be analytical, flexible, innovative, self-motivated, work independently, and as part of a larger team.

Additional Information: Full-Time, Monday - Friday



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