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Medical Collector

Posted: May 28, 2024
Salary:US$19 - US$24 per hour + PTO, Health/Dental/Vision Benefit Coverage
Job type: Contract
Discipline:Revenue Cycle
Work Location:Remote

Job description

  • Reviews aged, rejected, and inadequately compensated radiology claims to ascertain the reasons behind discrepancies from the anticipated reimbursement.
  • Communicates precise explanations for suspected underpayments to payers and scrutinizes denial rationales provided by each payer.
  • Collaborates with management to pinpoint, analyze, and address the root causes of denials, contributing to the development of strategies for reducing accounts receivable.
  • Manages all forms of communication, including telephone, electronic, and paper correspondence, from payers and various departments within the business office.
  • Actively engages in continuous quality improvement initiatives, establishing goals in collaboration with supervisors and monitoring progress.
  • Maintains a comprehensive understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, to identify and report billing compliance issues and payer inconsistencies.
  • Promptly reports any identified compliance risks to the appropriate leadership.