NPH Medi-Cal Collections Representative
UCLA Health Careers
Job TitleMedi-Cal Fee For Service Collections RepresentativeWork LocationLos Angeles, CA, USAWork ScheduleMonday - Friday, 7:30 AM - 4:30 PMSalary Range$29.03 - $41.23 HourlyPrimary Duties and ResponsibilitiesAs a Medi-Cal Fee For Service Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include:Conducting regular account reviews to identify outstanding balances.Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies.Diligently following up on claims to ensure timely resolution.Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues.Job QualificationsWe are seeking a self-directed, detail-oriented individual with:High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigationExperience in Medi-Cal Fee For Service and Medi-Cal managed care collections, highly desiredAbility to interpret payer contracts and process contractual adjustmentsIn-depth knowledge of UB04 requirements and medical billing processesStrong analytical skills and proven proficiency in Excel and spreadsheetsUnderstanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliationsExcellent verbal and written communication skillsProficiency in Microsoft Office, especially Excel and Word
Vacancy posted 4 days ago
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