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Managed Care Collector
2 months ago
Description:
The Collector performs A/R collections and billing via assigned special projects, involving multiple insurance contracts & entities. Verifies that patient services are coded correctly and payment has been applied properly. Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement. Monitors collection issues and resolves with payor. Processes phone-online and paper inquiries and correspondence taking appropriate collection actions that may include: working rejections/denials, calling for status, tracer claims and rebilling. Identifies misapplied payments and requests payments, adjustments/transfers or refunds. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. College level courses in Business and/or Accounting preferred. Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred. Epic experience preferred.
Knowledge and Skills: Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and interpret EOBs required. Able to keyboard 40 wpm. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction
Skills:
Data analysis, credit analysis, credit & collections, variance analysis, Business analysis
Top Skills Details:
Data analysis,credit analysis,credit & collections,variance analysis
Additional Skills & Qualifications:
Credit collection experience required. Must have 1 -2 years minimum experience
Experience Level:
Intermediate Leve
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
