Collector

A Hospital in San Bernardino is seeking an experience Medical Collector to join their Physician Services Billing team.

This is an onsite, contract to hire opportunity with a large healthcare organization.

Overview of Responsibilities:

• Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement. Processes all payer rejections/denials and follows up to resolve accounts in accordance with department standards.
• Reviews and works with outside agency/department lists, EOBs, CSM requests, to verify patient services are coded correctly and payment has been applied properly.
• Identifies misapplied payments, requesting payment adjustments/transfers or refunds.
• Reviews/corrects registration/insurance data utilizing all available sources to obtain correct information. Requests Insurance authorizations, including Service Authorizations (SARs) for CCS and Treatment authorizations (TARs) for Medi-Cal when necessary for account resolution.
• Processes all approved charge corrections timely, verifying proper adjudication for payor eligibility, following all Medicare/Medi-Cal/CCS and other payor guidelines.
• Processes correspondence for accounts and takes appropriate billing action.
• Receives and resolves phone issues/questions. Pulls appropriate documentation; takes proper action and documents through computer.
• Completes correspondence/tickler logs weekly maintaining department standards for work in progress.

Requirements:

• 1+ years Physician Billing & Insurance Follow-Up experience (CMS1500 claims)
• Experience working Commercial, Medi-Cal, Medi-Caid, and Medi-Care accounts
• COVID-19 Vaccination
• EPIC (preferred)

Schedule:

• Monday-Thursdays - 8.5 hour shift starting between 7am - 8:30am
• Fridays - 6 hour shift (no break)

Pay: $18 - 22 per hour (depending on experience)

Duration: 800 hours (approx. months) contract to hire*

*Opportunity of direct employment with client upon successful completion of contract period.

Benefits provided by Medix:

In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).

As an employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:

• 401(k) Retirement Plan (After 6+ months of service, during a 401k enrollment period on 1/1 or 7/1)
• Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!
• Prescription Programs
• Short Term Disability Insurance
• Term Life Insurance Plan