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Job description
Commercial Collections RepresentativeAs a Commercial 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.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 investigationExperience in commercial and managed care collections, highly desiredAbility to interpret payer contracts and process contractual adjustmentsIn-depth knowledge of UB04 requirements and medical billing processesStrong analytical skills and proven proficiency in Excel and spreadsheetsUnderstanding 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 affiliationsExcellent verbal and written communication skillsProficiency in Microsoft Office, especially Excel and WordExceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively
Worksite address
los angeles, CA, 90001, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.