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Collections Representative - Medical Collection Experience Required

Collections Representative - Medical Collection Experience Required

My Derm RecruiterWalnut Creek, CA, US
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Collector

Golden State Dermatology is a physician-led and owned dermatology group rapidly expanding across California, with over 40+ locations. We are a leading medical, surgical, and cosmetic dermatology group specializing in skin, hair, and nail conditions, Mohs micrographic surgery for the treatment of skin cancer, surgical and non-surgical cosmetic skincare, anti-aging, body contouring, and plastic surgery.

The Collector duties will include, but won't be limited to :

  • Work account aging reports and meet collection goals.
  • Review denied claims in a timely manner and contact insurance companies to obtain information as necessary.
  • Re-bill corrected claims as necessary
  • Ability to read chart notes and documentation
  • File appeals and disputes (first level, second level, peer to peer)
  • Communicate professionally with insurance companies, physicians, and clinic staff
  • Meet productivity daily goals.
  • Identify trends in aging reports
  • Perform other duties as needed

Qualifications / Skills :

  • Minimum of 3+ year billing experience
  • Understanding of EOBS, Medicare guidelines, LCD, CCI edits, and appeals processes
  • Be familiar with payer dispute process and timely filing guidelines
  • Be familiar with modifiers
  • Experience with payer portals
  • Experience with eCW and EMA (Modernizing Medicine) a plus
  • Microsoft Word and Excel
  • Exciting Perks :

  • 40% off products and procedures, as well as the ability to participate in free annual injectable events
  • Comprehensive medical, dental, and vision benefits
  • Company paid short and long-term disability as well as life insurance
  • Safe Harbor 401K match up to 4%
  • Flex spending accounts and commuter benefits
  • Employee Assistance Program (EAP) counseling for the stresses of everyday life
  • Exclusive discounts for theme parks, attractions, hotels, concerts, and movie tickets.
  • Employees accrue PTO from their first day of employment. Additionally, employees who work over 20 hours in a pay period are eligible for 9 paid holidays.
  • Pet insurance to cover the healthcare needs of all your pets
  • GSD strongly encourages employees to receive the COVID-19 primary series vaccination.

    Golden State Dermatology participates in the E-Verify program. E-Verify is a free, web-based system that allows employers to confirm their employees' eligibility to work in the United States. It does this by comparing information from an employee's Form I-9, Employment Eligibility Verification, to records from the U.S. Department of Homeland Security (DHS) and Social Security Administration (SSA).

    Golden State Dermatology is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants for employment and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.

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    Collection Representative • Walnut Creek, CA, US

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