Job Description
Description
A hospital in Los Angeles is seeking a Medicare Managed Care Medical Collections Specialist to support its revenue cycle team. The Medicare Managed Care Medical Collections Specialist is responsible for follow-up on unpaid claims, insurance appeals, denial resolution, and insurance accounts receivable activities to help maximize reimbursement and reduce aging balances.
Key Responsibilities:
+ Call insurance companies, payers, and/or patients to secure payment on unpaid claims.
+ Perform timely follow-up on outstanding insurance accounts receivable to ensure appropriate reimbursement.
+ Manage and prioritize daily workload to maximize collection efforts and minimize delays in payment resolution.
+ Submit and track insurance appeals related to denied or underpaid claims. Based on general knowledge.
+ Review denials, determine root cause, and take corrective action to support claim resolution.
+ Gath...
A hospital in Los Angeles is seeking a Medicare Managed Care Medical Collections Specialist to support its revenue cycle team. The Medicare Managed Care Medical Collections Specialist is responsible for follow-up on unpaid claims, insurance appeals, denial resolution, and insurance accounts receivable activities to help maximize reimbursement and reduce aging balances.
Key Responsibilities:
+ Call insurance companies, payers, and/or patients to secure payment on unpaid claims.
+ Perform timely follow-up on outstanding insurance accounts receivable to ensure appropriate reimbursement.
+ Manage and prioritize daily workload to maximize collection efforts and minimize delays in payment resolution.
+ Submit and track insurance appeals related to denied or underpaid claims. Based on general knowledge.
+ Review denials, determine root cause, and take corrective action to support claim resolution.
+ Gath...