Meidical Collector

Due to our tremendous growth we currently have openings in our El Segundo office for Medical Billers and Collectors.

As a full time employee you can look forward to:
A competitive salary, 2 weeks of paid time off per year, health, dental, short term and long term disability, life, 401 (k), and more!

Job Description
• Review remittance advice forms to verify proper reimbursement and to make adjustments as necessary.
• Responsible for the analysis of patient records and determining the legitimacy of treatment, diagnostic testing, admissions,
• Processes billing and follow-up for third party billing
• Posts cash, charges and denials.
• Checks to ensure that hospital records for patients include all information required for Third Party reimbursement.
• Verifies correct Third Party coding to ensure prompt payment.
• Verifies billing information for electronic claims transmission and hard copy billing (UB-92 and 1500 forms.
• Consults with claims processors at Third Party Payor companies regarding disputes/denied claims and follow up on all bills not processed within usual claim period.

Requirements
• Knowledge of managed care contracts, workers’ compensation legal requirements, and fee schedules may be required.
• Must have knowledge of HMO's, PPO, AHCCCS, and Medicare. Out-of-state Medicaid a plus
• Knowledge of computerized billing software (e.g. MDX, Medisoft, IDX, Meditech, HBOC, Prime Clinical, Primus, Medical Manager, etc) is required.
• Experience with either HCFA's or UB's.
• Commercial and hospital experience is helpful.
• Must possess knowledge of ICD-9, CPT, HCPCS and OP coding,
• Medical Terminology and an understanding of HIPPA privacy laws.
• Must have a High School diploma or equivalent combination of education and/or experience to perform all required essential functions for this position.

Fax 310-322-6660 Email: [Click here for email]

WEB LA551050 Los Angeles Times 2006-09-08


Source - Los Angeles Times
REQUIREMENTS
Please refer to the Job Description to view the requirements for this job

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