Medical Collector - Johnson Service Group

Johnson Service Group (JSG) is seeking a Medical Collector for the South Orange County Area, CA.  On-site position.
Days: Monday- Friday
Hourly: $28.00-$31.00 (DOE). 

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.
• Has thorough knowledge of ASC allowable procedures.
• Handles contracted HMO, PPO, EPO, POS, Workers' Comp, 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 service 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 the past due accounts.
• Follow center policies, procedures, and best practices for resolution and reassignment of accounts.

 
Qualifications:
 

• High school diploma or equivalent required. 
• (5) years experience with Medical collections preferred.
• Medical terminology, ICD-9 and CPT knowledge required.
• Individual must have strong computer and data entry skills and a strong in depth contract comprehension.
• Must be able to work within the team & independently, handle multiple tasks efficiently and maintain confidentiality.
• Must be a team player, communicate well and interact in a positive manner with patients, families, co-workers, supervisor and other facility teammates to ensure the overall success of our center.       

** Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.  #D800