Highly rated optometry group with great reviews and great staff if looking for a Medical Collector. This position is responsible for ensuring accuracy in insurance claim follow-up, root cause analysis, appeals and denial management.
Location: City of Montebello, CA. Zip Code 90640
Schedule: Monday-Friday 8AM-5PM
Specialty: Eye Clinic
Pay Rate: $23-$25 DOE
Duration: Contract to Hire
Start Date: Immediate
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Completes accurate and timely follow up with responsible third-party payer for outstanding accounts receivables
- Research claim denials and rejections, documenting all relevant actions for audit and tracking and taking appropriate steps towards claim resolution
- Write and file appeals as appropriate
- Develops expertise and payer specific knowledge on all aspects of medical claim collections
- Identify and report collection trends and/or issues resulting in delayed claim adjudication
- Interpret explanation of benefits for accuracy and correct payer adjudication
- Ability to prioritize workload and identify key projects that will result in reduction of outstanding accounts receivable
- Collaborate with RCM leadership to implement collection strategies achieving department goals
- Other projects as assigned
