About this role
Neurological Office located in Mission Viejo is looking to add a Part-Time Collections/Audit specialist to our growing team. Must be detailed-oriented and have well-documented prior experience in managing denied and accepted medical claims from private insurance, work-comp, PI attorneys. . .etc.
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.
• This individual will be responsible for debt collections, which requires the ability to interface with clients in a professional and courteous manner on the phone and in writing. • Initiate collection follow-up of all unpaid or denied claims with the appropriate payer to prevent write offs and timely filing denials. • Research, appeal, and resolve claims rejections, underpayments, and denials with appropriate payer within payer specified deadlines. • Responds to payer communications, taking appropriate action within specified deadlines. • Check claim status using payer internet websites and performs appropriate action to ensure claims are resolved. • Process Statements and make calls for patient collections as needed • Develop and maintain positive working relationships with teammates and payers. • Other duties as assigned • Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position Qualifications Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required • High school diploma or equivalent required • Minimum of 2 years of experience in collections/ Accounts Receivable required; healthcare or insurance experience strongly preferred
- Debt collections
- Knowledge of Insurance appeals, Claim rejections, Denials from insurance
- Billing and coding experience
All your information will be kept confidential according to EEO guidelines.