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Date Posted
3 days ago
New!Remote Work Level
Hybrid Remote
Location
Hybrid Remote in Los Angeles, CA
Job Schedule
Alternative Schedule, Full-Time
Salary
$27 - $39 Hourly
Categories
About the Role
Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday-Friday 7:30 AM - 4:30 PM
Salary Range: $27.65 - 39.27 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinate
Job #
27360
Primary Duties and Responsibilities
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As a Medi-Cal 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: $27.65- $39.27/hourly
Job Qualifications
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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