Halo Staffing Group
Full-Time/Part-Time Full-Time Shift Days Pay Rate $28-$30 DOE About the Organization Our focus on medical recruitment and staffing, experience, and unique sourcing model allows for a unique pool of candidates otherwise not available. Apply today for immediate opportunities in the health care industry. EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description HALO Staffing Group - Immediate Interviews - Top Hospitals - Top rated specialty medical group in Laguna Hills, CA has an immediate opening for an experienced Medical zBiller Collector. Position is working all medical billing & collections for large General Surgery Medical Group. Summary: Must know how to navigate through insurance portals, process appeals and can have stern conversations with payers and discuss accounts with patients. Process a high volume of claims, payments and work with insurances.Job descriptionMedical Collector opportunity in Laguna Hills for a high-volume Surgical Center. The Collector needs to have experience in payor websites and appeals.-Monday thru Friday, 7:30 a.m. - 4:30pm, OR 8:30 a.m. -5:00 p.m.-Paying $26-30hr DOEESSENTIAL DUTIES AND RESPONSIBILITIES:Primary functions are detail oriented to manage debit/credit account balances, patient balance resolution and non-patient (insurance) resolution.Accurate and timely follow up and resolution for all accounts receivable through auditing of accounts.Meeting and maintaining cash collection metrics and goals.Maximized facility reimbursement.Understands each payer contract and will utilize to ensure payments received are correct.Understands and can explain the Explanation of Benefits received from any payer.Works closely with payer provider relations representatives with online appeals input and monitoring.Handles contracted HMO, PPO, EPO, POS, Worker's Com., Medicare, self-pay and third party reimbursement issues and non-contracted LOAs.Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures.Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts.Follow center policies, procedures, and best practices for resolution and reassignment of accounts.Possess basic knowledge of medical terminology and health insurance billing.Have ability to communicate effectively with patient, physicians, and other teammates.RESPONSIBILITIES: Completes accurate and timely follow up with responsible third-party payer for outstanding accounts receivables Research claim denials and rejections, documenting all relevant actions for audit and tracking and taking appropriate steps towards claim resolution Write and file appeals as appropriate Develops expertise and payer specific knowledge on all aspects of medical claim collections Identify and report collection trends and/or issues resulting in delayed claim adjudication Interpret explanation of benefits for accuracy and correct payer adjudication Ability to prioritize workload and identify key projects that will result in reduction of outstanding accounts receivable Collaborate with RCM leadership to implement collection strategies achieving department goals Position Requirements Experience with physician billing 2+ years of success in medical billing and/or collections Intermediate level experience with Microsoft Word and MS Excel Excellent verbal and written communication skills. Bilingual in Spanish is a plus Exceptional people skillsHALO Staffing Group works with the largest and best hospital systems and offers top-pay and full benefits. This includes United Health HMO or PPO (your choice), dental coverage, and matching 401K, plus paid sick time, and holidays.TYPICAL PHYSICAL DEMANDS:Position requires prolonged sitting, some bending, stooping, and stretching. Some patient assistance will be required. Good hand-eye coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone and other office equipment is also required. Employee must have normal range of hearing and eyesight to record, prepare, and communicate appropriate reports.This position is currently accepting applications.