Medical Biller/Collector

Description

Take on a key role within a world-class health organization. Provide important support that advances the mission of an award-winning health system. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.

As the Medical Billing Collector, you will be responsible for:

Accurately processinginpatient and outpatient claims to government and commercial payers,following all mandated billing guidelines

Provide quality controlchecks of denied claims, the ability to process tracers, process contractual adjustments and allocation of funds; initiate appeals

Draft, compose, and submit appeal letters specific to coding issuesconsistent with the most updated American Medical Association CurrentProcedural Terminology

Perform all required duties within the patient accounting systems

Overturn denials and secure payment of denied claims

Salary Range: $27.66 - $36.47 Hourly

Qualifications

We're seeking a detail-oriented, self-directed professional with:

Two years recent professional medical collection experience, preferably in SCN OBGYN

Skill in drafting appeals, identifying denial reason and ability to secure payment of denied claims

Knowledge of commercial contracts, with the ability to understand contract language in order to appeal denied claims and/or secure underpayments

Knowledge of how to use modifiers to secure payment, i.e. 25, 33, 59 and 51

Working experience with Medi-Cal, Medicare, HMO, and PPO insurance

Experience using on line payer sites with the ability to check claim status, denials, and eligibility

Knowledge of MS Word and MS Excel software

Knowledge of CPT, ICD-10, and HCPC codes

Must be an effective multi-tasker in order to meet daily production and quality standards

UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, UCan at UCLA Health.