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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
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
About UCLA
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