Jobs
>
Costa Mesa

    Medical Collector - Costa Mesa, United States - Peregrine Team

    Peregrine Team
    Peregrine Team Costa Mesa, United States

    3 days ago

    Default job background
    Description

    Peregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract to hire role with full benefits and competitive pay.

    $26 - $32/hour

    Job Duties:

    • The Collector serves as the account representative for the hospital in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution.
    • Completes assigned accounts within assigned work queues.
    • Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG).
    • Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to the hospital.
    • Reviews and completes payor and/or patient correspondence in a timely manner.
    • Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments.
    • Reports new/unknown billing edits to direct supervisor for review and resolution.
    • Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections), including procedures and policies.
    • Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements.
    • Interprets Explanation of Benefits (EOBs) and Electronic Admitt ance Advices (ERAs) to ensure proper payment as well asassist and educate patients and colleagues with understanding of benefit plans.
    • Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation,commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
    • Demonstrates knowledge of and effectively uses patient accounting systems.
    • Documents all calls and actions taken in the appropriate systems.
    • Accurately codes insurance plan codes.
    • Establishes a payment arrangement when patients are unable to pay in full at the time payment is due.
    • May review for applicable cash rates, special rates, applicable professional and employee discounts.
    • May process bankruptcy and deceased patient accounts. Performs other duties as assigned.

    Qualifications:

    • High school diploma or equivalent - Required
    • One year of previous hospital business experience, or equivalent required or strong background in customer service - Required
    • Basic experience with insurance plans, hospital reimbursement methodology, and/or ICD10 and CPT coding - Required
    • Medical billing collector experience and excellent customer service skills - Required
    • Shift: 40 hours- 5x8

    Email your resume to ASAP or apply here for consideration.

    Powered by JazzHR

  • PRIDE Health

    Medical Collector

    2 weeks ago

    PRIDE Health Costa Mesa, United States

    Pride Health is hiring a Collector for one of its clients in California. · This is a 3-month contract with a possible extension with competitive pay and benefits. · Location Costa Mesa, California 92626 · Pay range - $24 - $28 per hour. · Length of assignment 3 months(With Po ...

  • Global HIT

    Medical Collector

    1 week ago

    Global HIT Costa Mesa, United States

    Overview: · We are seeking a detail-oriented and experienced Medical Collector to join our team. As a Medical Collector, you will be responsible for ensuring the timely and accurate collection of medical payments from patients and insurance companies. This is a vital role in our ...

  • Global HIT

    Medical Collector

    3 weeks ago

    Global HIT Costa Mesa, United States

    Overview: · We are seeking a detail-oriented and experienced Medical Collector to join our team. As a Medical Collector, you will be responsible for ensuring the timely and accurate collection of medical payments from patients and insurance companies. This is a vital role in our ...

  • Global HIT

    Medical Collector

    2 weeks ago

    Global HIT Costa Mesa, United States

    Our esteemed hospital client is looking for a **Medical Collector II **to support their medical Office in **Costa Mesa, CA. **for **a 3+month contract** · **Address**: 2995 Red Hill Ave Costa Mesa, CA. 100% ONSITE. · **Notes**: · 100% onsite. Minimum of 50 claims per day doing in ...

  • Global IT Resources

    Medical Collector

    1 week ago

    Global IT Resources Costa Mesa, United States

    **100% Onsite** · Minimum of 50 claims per day doing insurance AR follow up -Certifications needed? High School Diploma and minimum of 3 years' experience doing AR follow up · Required Skills & Experience: · - Three years of experience in a hospital/medical and/or related ?eld or ...

  • Surgery Partners

    Medical Collector/Biller

    2 weeks ago

    Surgery Partners Irvine, United States

    JOB TITLE: Collections Clerk · GENERAL SUMMARY OF DUTIES: · The Collector is responsible for handling all parts of insurance claims and denials, as well as checking the status of claims. · EDUCATION/EXPERIENCE: · High School Diploma or Equivalent · 2 years of medical collection ...

  • On-Track Revenue Management LLC

    Medical Collector

    1 day ago

    On-Track Revenue Management LLC Corona, United States

    Job Description · Job DescriptionMedical Billing Company seeks Medical Biller / Collector for multiple full-time positions in our expanding, multi-client operation based in Corona, CA. Positions open immediately. · The ideal candidate should have: · A minimum of 1 year of experie ...

  • Peregrine Team

    Collector/medical Collections Specialist

    3 weeks ago

    Peregrine Team Costa Mesa, United States

    Peregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with full benefits and competitive pay. · **Job Duties**: · - The Collector serves as the account representative for the hospital in working with insurance companies,government ...

  • Surgery Partners

    Medical Collector/Biller

    2 weeks ago

    Surgery Partners Irvine, United States

    JOB TITLE: Collections ClerkGENERAL SUMMARY OF DUTIES: The Collector is responsible for handling all parts of insurance claims and denials, as well as checking the status of claims.EDUCATION/EXPERIENCE: High School Diploma or Equivalent2 years of medical collections experience pr ...

  • Surgery Partners

    Medical Collector/Biller

    2 weeks ago

    Surgery Partners Irvine, United States

    JOB TITLE: Collections Clerk · GENERAL SUMMARY OF DUTIES: · The Collector is responsible for handling all parts of insurance claims and denials, as well as checking the status of claims. · EDUCATION/EXPERIENCE: High School Diploma or Equivalent · 2 years of medical collection ...

  • Glocal RPO

    Collector Medical Billing and Insurance

    3 weeks ago

    Glocal RPO Costa Mesa, United States

    Completes assigned accounts within assigned work queues. · - Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). · - eviews and completes payor and/or p ...

  • Specialty Surgical Center - Irvine

    Medical Collector/biller

    1 week ago

    Specialty Surgical Center - Irvine Irvine, United States

    **JOB TITLE**: Collections Clerk · **GENERAL SUMMARY OF DUTIES**: · The Collector is responsible for handling all parts of insurance claims and denials, as well as checking the status of claims. · **EDUCATION/EXPERIENCE**: · - High School Diploma or Equivalent · - 2 years of medi ...

  • Acme Billing Solutions

    Medical Insurance Collector

    3 days ago

    Acme Billing Solutions Irvine, United States

    **Job description** · **Responsibilities**: · - Collaborate with insurance providers to monitor outstanding claims status and navigate necessary resolution steps. · - Initiate reimbursement processes with carriers through strategic phone communication, meticulously documenting al ...

  • AmeriPharma

    Reimbursement Specialist Medical Collector

    3 weeks ago

    AmeriPharma Laguna Hills, United States

    Job Description · Job DescriptionSalary: $27-$31 Hourly/DOE · Mission Statement · Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate ...

  • A Medical Billing

    Medical Biller/Coder/Collector-This is not a remote position

    3 weeks ago

    A Medical Billing Santa Ana, United States

    Job Description · Job DescriptionTrained Medical Biller/Coder/Collector. Minimum 2 years experience. Experience in Medicare, PPO, Work Comp and HMO insurances. Good communication and customer service skills. Amed bills for multiple specialties and Clinics. ICD10 and CPT proficien ...

  • MJ Resource Management

    Medical Biller and Collector

    2 weeks ago

    MJ Resource Management Torrance, United States

    **Medical Biller/ Collector** · The Medical Biller is responsible for assisting with submission of insurance claims for two healthcare companies in the South Bay. This position works directly with the Billing Supervisor. This position ensures claims are accurate with timely deliv ...

  • MJ Resource Management

    Medical Biller and Collector

    3 weeks ago

    MJ Resource Management Torrance, United States

    **Medical Biller/ Collector** · The Medical Biller is responsible for assisting with submission of insurance claims for two healthcare companies in the South Bay. This position works directly with the Billing Supervisor.. This position ensures claims are accurate with timely deli ...

  • Premier Infusion and Healthcare Services, Inc.

    Medical Claims Collector

    1 week ago

    Premier Infusion and Healthcare Services, Inc. Torrance, United States

    **Come Join the Premier Infusion & Healthcare Family **At Premier we offer employees stability and opportunities for advancement.Our commitment to our core values of **Compassion, Integrity, Respect and Excellence in People** applies to our employees, our customers, and the commu ...

  • Sun Urology

    Medical Biller/collector

    3 days ago

    Sun Urology Buena Park, United States

    Medical Biller (AR Collections Specialist) will process encounters for services provided by medical providers on a daily basis. Medical Biller (AR Collections Specialist) will also be responsible for billing clean claims daily to payers via electronic or hard copy submissions in ...

  • eTeam Inc

    Collector I

    4 days ago

    eTeam Inc Costa Mesa, United States

    Duties: · The Collector serves as the account representative for Client in working with insurance companies,government pay ors, and/or patients for resolution of payments and accounts resolution. · Completes assigned accounts within assigned work queues. Obtains the maximum amoun ...