USC CERPP (Center for Enrollment Research, Policy and Practice)
Collector, MSO CBO - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt) (Non-
USC CERPP (Center for Enrollment Research, Policy and Practice), Alhambra, California, us, 91802
Overview
Collector, MSO CBO – USC Care MSO CBO – Full Time 8 Hour Days (Non-Exempt) (Non-Union) at USC CERPP (Center for Enrollment Research, Policy and Practice), Alhambra, CA. The Collector Appeal Specialist is responsible for accurately processing inpatient and outpatient claims to third party payers and private payers, ensuring timely filing and adherence to billing guidelines. Provides quality control checks on paper and electronic claims, processes tracers and denials, initiates appeals, and composes and submits appeal letters for challengeable denial issues consistent with current CPT/AMA guidelines. Maintains professional demeanor and communication, meets productivity standards, and participates in quality reviews. Type of supervision: Direct supervision. May require daily, weekly, or monthly unit meetings and review of daily production and other production-based reports. Responsibilities
Technical duties: analyze billing procedures by payor type; gather required documentation; edit and submit claims (hard copy or electronic); ensure data accuracy and confidentiality; utilize Cerner, AIDX/GE and related systems; resolve claim edits and issues; communicate issues to supervisors; complete tasks per priority matrix. Follow up – Collections: manage accounts with diverse payors, maintain portfolios for optimum cash collections, perform follow-up on outstanding claims, document activity, and coordinate with third-party contacts to determine reimbursement status. Adjustments and credit balances: process and document adjustments, transfers, or refunds; handle misapplied payments; review and resolve credit balances in accordance with policy. Documentation and data integrity: record detailed ETM/GECB notes; maintain accurate records on billing attachments, balances, and claim status; respond to inquiries and provide information to stakeholders. Quality and compliance: meet production and quality standards; participate in training and seminars to stay current on policies; review and audit work to ensure accuracy. Other duties: assist with special projects and training as needed; support office activities and general operations. Qualifications
Required: High school diploma or equivalent. Experience with medical services collections for Medicare, Medi-Cal/Cal, HMO, PPO, Commercial, and Private Pay payors. Excellent written and verbal communication; knowledge of applicable collection laws/policies; strong problem-solving, insurance terminology, and reimbursement procedures. Experience in medical billing systems and computing environments; proficiency with relevant software and patient accounting systems; ability to apply contractual terms of managed care contracts. Preferred: 2 years of medical services collections and experience with computerized billing systems (e.g., IDX). Licenses/Certifications: Fire Life Safety Training (LA City) or ability to obtain within 30 days of hire (as required in LA City). The hourly rate range for this position is $25.00 - $39.69. Posted date: 03/06/2025. REQ20157420.
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Collector, MSO CBO – USC Care MSO CBO – Full Time 8 Hour Days (Non-Exempt) (Non-Union) at USC CERPP (Center for Enrollment Research, Policy and Practice), Alhambra, CA. The Collector Appeal Specialist is responsible for accurately processing inpatient and outpatient claims to third party payers and private payers, ensuring timely filing and adherence to billing guidelines. Provides quality control checks on paper and electronic claims, processes tracers and denials, initiates appeals, and composes and submits appeal letters for challengeable denial issues consistent with current CPT/AMA guidelines. Maintains professional demeanor and communication, meets productivity standards, and participates in quality reviews. Type of supervision: Direct supervision. May require daily, weekly, or monthly unit meetings and review of daily production and other production-based reports. Responsibilities
Technical duties: analyze billing procedures by payor type; gather required documentation; edit and submit claims (hard copy or electronic); ensure data accuracy and confidentiality; utilize Cerner, AIDX/GE and related systems; resolve claim edits and issues; communicate issues to supervisors; complete tasks per priority matrix. Follow up – Collections: manage accounts with diverse payors, maintain portfolios for optimum cash collections, perform follow-up on outstanding claims, document activity, and coordinate with third-party contacts to determine reimbursement status. Adjustments and credit balances: process and document adjustments, transfers, or refunds; handle misapplied payments; review and resolve credit balances in accordance with policy. Documentation and data integrity: record detailed ETM/GECB notes; maintain accurate records on billing attachments, balances, and claim status; respond to inquiries and provide information to stakeholders. Quality and compliance: meet production and quality standards; participate in training and seminars to stay current on policies; review and audit work to ensure accuracy. Other duties: assist with special projects and training as needed; support office activities and general operations. Qualifications
Required: High school diploma or equivalent. Experience with medical services collections for Medicare, Medi-Cal/Cal, HMO, PPO, Commercial, and Private Pay payors. Excellent written and verbal communication; knowledge of applicable collection laws/policies; strong problem-solving, insurance terminology, and reimbursement procedures. Experience in medical billing systems and computing environments; proficiency with relevant software and patient accounting systems; ability to apply contractual terms of managed care contracts. Preferred: 2 years of medical services collections and experience with computerized billing systems (e.g., IDX). Licenses/Certifications: Fire Life Safety Training (LA City) or ability to obtain within 30 days of hire (as required in LA City). The hourly rate range for this position is $25.00 - $39.69. Posted date: 03/06/2025. REQ20157420.
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