HMO Insurance Department Biller/ Collector (West Los Angeles)

HMO Insurance Department Biller/ Collector (West Los Angeles)

04 Apr 2024
California, Los angeles 00000 Los angeles USA

HMO Insurance Department Biller/ Collector (West Los Angeles)

Vacancy expired!

Reputable healthcare company in Southern California is looking for an Insurance Department Biller/ Collector who will be responsible for Collections on EOB's and Private Health Insurances to improve revenue.

Job Responsibilities:

Re-Work unpaid or erroneously paid EOB's to maximum reimbursement for procedures performed

Increase revenue by reviewing payer authorization and CPT combination accuracy and adjusting for retro-authorizations

Monitor accounts for correct coding and claim submission by using Office Ally tools, EOB tracking and APEX All studies

Report inaccuracies to develop workflow assignments

Assist with patient insurance verification, authorization, corrections and inquiries as needed

Correct, resubmit, follow up and notate work performed on assigned claims as per departmental needs

Assist with all Billing Department needs to meet and exceed goals for billing, collections and process improvements

The right candidate must have the following qualifications:

3+ years experience in a "denied claims" by health insurance environment

Experienced in data entry and insurance verifications CPT & ICD9 & ICD10 knowledge

Professional telephone etiquette

Strong Insurance "Collector" personality with high level EOB knowledge and communication

Typing 35+wpm and 10key

Professional telephone etiquette and good grammar

MS computer skills specifically Word, Excel and Outlook

Bilingual (any language) a plus, Spanish preferable

Positive team attitude is essential

Please respond to billingjobs@umih.com and include "Biller Collector "in the subject heading of your e-mail.

NO CALLS PLEASE. All qualified candidates will be subject to a background check. Only candidates being considered will be contacted.

Compensation: DOE

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