Job Seekers, Welcome to Health Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Optum
Worcester, Massachusetts
NEW! NEW!
Vanderbilt Health
Nashville, Tennessee
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Albuquerque, New Mexico, New Mexico
NEW! NEW!
UCLA Health
Los Angeles, California
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Details
Posted: 03-Nov-24
Location: Los Angeles, California
Categories:
Admin / Clerical
Internal Number: 144119453
Description
As a Medicare Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include:
- Conducting regular account reviews to identify outstanding balances.
- Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies.
- Diligently following up on claims to ensure timely resolution.
- Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues.
Salary Range: $26.79 - $38.05/hourly
Qualifications
We are seeking a self-directed, detail-oriented individual with:
- High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation
- Experience in commercial and managed care collections, highly desired
- Ability to interpret payer contracts and process contractual adjustments
- In-depth knowledge of UB04 requirements and medical billing processes
- Strong analytical skills and proven proficiency in Excel and spreadsheets
- Understanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations
- Excellent verbal and written communication skills
- Proficiency in Microsoft Office, especially Excel and Word
- Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively
About UCLA
More Jobs from This Employer
https://jobs.healthcareercenter.com/jobs/20767303/medicare-collections-representative
Loading. Please wait.