Government Medical Collections Specialist

Robert Half
Alhambra, CA, US
Full-time

Job Description

Job Description

A reputable, patient-centered hospital who believes in providing exceptional medical care to our community. As a part of our team, the Hospital Government Medical Collections Specialist will be crucial in maintaining our high standard of service.

We are now seeking a experience in Hospital Government Medical Collections Specialist with Appeals experience to join our dedicated team of professionals.

The Medical Collections Specialist will play an important role in managing and collecting medical accounts receivable for our hospital.

The ideal candidate must have experience with appealing denied claims.

Job Responsibilities :

Conduct insurance follow-ups on pending or denied appeals by working with the appropriate departments and insurance companies.

Coordinate with the medical billing department to identify billing inconsistencies and rectify them. Research and troubleshoot issues related to medical billing and payments and provide necessary solutions.

Manage any necessary documentation needed for the appeal process. Train staff in the appeals process, ensuring compliance with all necessary protocols.

Understand medical coding and billing, navigation of electronic medical records, and compliance to Government policies.Medical Billing, Medical Collections, Medical Appeals, Medical Denials, Medicare, Medicare Billing, Medi-Cal

19 days ago
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