Growing and Dynamic company looking to hire Receivables Management Collector’s (Healthcare Industry)
ESSENTIAL DUTIES AND RESPONSIBILITIES:
?Responsible for working correspondence specific to insurance and eligibility denials.
?Responsible for processing appeals as part of the rejection/denial function.
?Maintains knowledge of coordination of benefits requirements and processes.
?Maintains knowledge of insurance rejection/denial processing.
?Responsible for all daily, weekly, and monthly reporting requirements.
?Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and self-pay payers.
?Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.
?Works with others to receive feedback on performance and create a personal developmental plan.
?Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria.
QUALIFICATIONS / EXPERIENCE:
?2+ years? experience with insurance denial and correspondence processes within a multi-facility environment.
?Some college coursework in business administration or accounting preferred.
?In addition, working knowledge of insurance carriers? payment regulations including various reimbursement schemes, coinsurance, deductibles and contractual adjustments is necessary as well as significant working knowledge of the insurance process, denials, appeals and insurance eligibility.
?Knowledge of basic math and the ability to perform math functions in units of American currency.
?Ability to review documents for accuracy and reasonability.
?Knowledge of coordination of benefits requirements and processes.
?Knowledge of health insurance correspondence denial processing.
?Knowledge of insurance rejection/denial processing to perform follow up activity.
For immediate consideration please forward resume in a Microsoft Word Document and call the Act-1 Downtown LA office and ask for Azuri Ross We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, age (40 and over), gender identity, national origin, protected veteran status, disability or any other protected classification under federal and state law. You can view all of our jobs online at http://www.act-1.com/?sc=11&id=1305511
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