- 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.
- 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
- Experience with EPIC - Required
- Shift: 40 hours- 5x8
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Collector I
4 days ago
eTeam Inc Costa Mesa, United StatesDuties: · 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 ...
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Collector I
1 week ago
Capleo Global LLC Costa Mesa, United StatesTitle: Collector I · Location: Costa Mesa, CA 92626 · Duration: 13 Weeks Contract · Shift: 7:00 AM to 3:30 PM OR 8:30 AM to 5:00 PM · Responsibilities: · The Collector serves as the account representative for client in working with insurance companies, government payors, and/or p ...
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Medical Collector
3 days ago
Peregrine Team Costa Mesa, United StatesPeregrine 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 ...
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Collector II
5 days ago
Huckeye Health Services LLC Costa Mesa, United StatesJob Description · Job DescriptionJob Summary: · The Collector II serves as the account representative responsible for engaging with insurance companies, government payors, and patients to resolve payment issues and ensure account resolution for Hoag. This role requires thorough k ...
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Collector I
3 weeks ago
Huckeye Health Services LLC Costa Mesa, United StatesJob Description · Job DescriptionJob Description · he Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Completes assigned accounts within assigned wo ...
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Medical Collector
2 weeks ago
PRIDE Health Costa Mesa, United StatesPride 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 ...
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Collector
4 days ago
Ledgent Finance & Accounting Corona, United States Full timeJob Description · ob Title: Medical Biller & Collector (no experience required) · Location: Corona, CA · Pay Rate: · $19 - $23.00 per hour if candidate has experience · Schedule: M - F, 7 am to 4 pm · Type: temp-to-hire · The collector is responsible for making 40-80 collection ...
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Medical Collector
1 week ago
Global HIT Costa Mesa, United StatesOverview: · 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 ...
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Collector Ii
1 week ago
BAHAMA Consulting Corporation Costa Mesa, United States**TITLE**: Collector II · **LOCATION**:Costa Mesa, CA · **SCHEDULE**: Days 100% Onsite · **PAY**: $ $28.00/ hour · - This is the pay range that BAHAMA Consulting reasonably expects to pay someone for this position._ · **FLSA STATUS**:Non-Exempt · **SUMMARY**: The Collector serves ...
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Collector I
6 days ago
Hoag Memorial Hospital Presbyterian Costa Mesa, United States**Additional Responsibilites**: · - **High Volume inbound call center environment for self-pay customer service related to Hospital and Physician billing. Inbound calls can be from patients, insurance companies, physicians, etc.**: · - **Knowledge of EOBs and insurance coverage ( ...
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Medical Collector
2 weeks ago
Global HIT Costa Mesa, United StatesOur 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 ...
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Medical Collector
3 weeks ago
Global HIT Costa Mesa, United StatesOverview: · 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 ...
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Collector I
6 days ago
Hoag Memorial Hospital Presbyterian Costa Mesa, United States**Salary Range**: $ $ /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education. · The Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolutio ...
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collector i
1 month ago
Hoag Memorial Hospital Presbyterian Costa Mesa, United States Full timeSalary Range: $ $32.03 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education. · The Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resoluti ...
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Commercial Collector I
2 weeks ago
Peoples Bank Huntington, United States Regular Full timeBuild Your Future Here: · Thinking of changing jobs or starting your career at a growing company with an award-winning culture? Well you are in the right place. Join us on our journey to being the Best Community Bank in America. Our motto is Working Together. Building Success. a ...
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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 ...
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Collector
3 days ago
Ledgent Finance & Accounting Corona, United StatesJob Description · Job Descriptionob Title: Medical Biller & Collector (no experience required) · Location: Corona, CA · Pay Rate: · $19 - $23.00 per hour if candidate has experience · Schedule: M - F, 7 am to 4 pm · Type: temp-to-hire · The collector is responsible for making 40- ...
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Collector
3 weeks ago
CERTIFIED FEDERAL CREDIT UNION El Monte, United StatesJob Description · Job DescriptionCERTIFIED FEDERAL CREDIT UNION JOB OPPORTUNITY · FULL-TIME - EL MONTE BRANCH · COLLECTOR · Certified Federal Credit Union is seeking an experienced and motivated candidate to work as a Collector in the Special Accounts Department at a credit union ...
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Medical Collector/Biller
2 weeks ago
Surgery Partners Irvine, United StatesJOB 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 ...
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Collector I
3 weeks ago
Moore Law Group Santa Ana, United StatesJob Description · Job DescriptionPosition Summary · The Collector I is an entry level position whose responsibility is to process payments on pre-approved payment plans and assist the collections department to make outbound calls when needed. This position will transition into a ...
Collector - Costa Mesa, United States - Peregrine Team
Description
Job Description
Job DescriptionPeregrine Team is hiring for a Collector in Costa Mesa, CA. This position is a full-time, contract role with competitive pay.
$26 - $32/hour
Job Duties:
Qualifications:
Email your resume to ASAP or apply here for consideration.
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