MEDICAL BILLING & COLLECTIONS - Rancho Cucamonga California

Location: Rancho Cucamonga, California
Posted On: 11/15/2024

COMMERCIAL INSURANCE COLLECTOR POSITION



Knowledge of UB04, CPT, HCPC, ICD9, and EOB required.

Previous experience working in an acute hospital patient account setting required.

Minimum five years experience in hospital UB04 billing, auditing and collections.



The Collection Specialist analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices. Performs telephone and written follow-up with insurance companies, third party payers, worker?s compensation payers, medical groups, outside hospitals, and physician?s offices to ensure timely payments of inpatient and outpatient hospital bills in accordance with the terms and conditions of each contract and/or insurance company policies.



Ensures that payers adhere to compliance laws regarding timely processing of claims. Has a strong understanding of Managed Care and insurance company payment principles, rules, and regulations to perform reimbursement from both the third party and patient perspectives.



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We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status. More...

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