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Job Saved Save Job

Family Medicine Collector

UCLA

Details

Posted: 08-Aug-24

Location: Los Angeles, California

Salary: Open

Categories:

Admin / Clerical

Internal Number: 141060170

Description

As the Family Medicine Collector, you will be responsible for:

Accurately processing inpatient and outpatient claims to government and commercial payers, following all mandated billing guidelines
Provide quality control checks of denied claims, the ability to process tracers, process contractual adjustments and allocation of funds; initiate appeals
Draft, compose, and submit appeal letters specific to coding issues consistent with the most updated American Medical Association Current Procedural Terminology
Perform all required duties within the patient accounting systems
Overturn denials and secure payment of denied claims
This position requires a general knowledge of overall Business Office functions. He/she must demonstrate a positive demeanor, good verbal and written communication skills, and must be professional in both appearance and approach

Salary range: $27.66 - $36.47 Hourly

Qualifications

We're seeking a detail-oriented, self-directed professional with:

Two years recent professional medical collection experience, preferably in Ophthalmology
Skill in drafting appeals, identifying denial reason and ability to secure payment of denied claims
Knowledge of commercial contracts, with the ability to understand contract language in order to appeal denied claims and/or secure underpayments
Knowledge of how to use modifiers to secure payment, i.e. 25, 24, 50, 51, 59, E-modifiers
Working experience with Medi-Cal, Medicare, HMO, and PPO insurance
Experience using on line payer sites with the ability to check claim status, denials, and eligibility
Knowledge of MS Word, MS Excel software, Teams and Zoom
Knowledge of CPT, ICD-10 and HCPC codes
Must be an effective multi-tasker in order to meet daily production and quality standards

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About UCLA

At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.

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