Hmo Collector - Long Beach, United States - US Skilledserve

US Skilledserve

Verified Company

Long Beach, United States

4 weeks ago

Posted by:

Mark Lane

beBee recruiter

Expertise of different billing systems, including HMO, and Advantage care.

Complete knowledge of various codes—ICD9, Procedure, Revenue, Rug Level and Condition
Understanding contract fundamentals and skilled at negotiation
Proficient at computer programs—Excel, Word, billing, etc. and the 10key calculator
Accurate and detailoriented
Present in the office during core 8am5pm business hours of normal operating work week unless alternate schedule preapproved by Supervisor.
Notify Supervisor by phone of absence on a scheduled workday.
Conduct Account Receivable reviews, monthly to bimonthly, as indicated:
Advise and support assigned bookkeepers to handle billing questions and problems; correctly adjust claims; cash receipts posting, etc.
Follow up and collect reimbursement for assigned facilities.
HMO aging review with collections with supervisor bimonthly.
Monitor HMO credit balances at assigned facilities on a monthly basis for adjustments/refunds.
Research and prepare refunds for assigned facilities.
Assist with information needed for HMO audits.
Attend workshops/seminars to keep current with regulations, procedures as indicated.
Must be a team player and work professionally with others