Responsibilities may include : Collections of all PPO,HMO, Medi-Cal, Workers Compensation and MedicareAdvantage related accounts including patient balances.
Processing appeals and communications with carriers as needed. Diagnostic procedure authorizations . Verification of patient account information and insurance benefits.
Qualifications include: Minimum of 3 year experience as a Biller/Collector.
Strong knowledge of PPO. HMO and Medicare policies.
Knowledge of Medicare, PPO, HMO, Medi-Cal and workers compensation plans.
Exceptional customer service, initiative, problem solving and excellent communication skills. Familiar with Microsoft Office, Outlook and Excel .
Familiar with insurance company website’s eligibility and claim status process.
Experience using any Medical Billing and Collections Computer System , preferably Nextgen