A valued client of Randstad's in Fresno, CA is seeking to build a team of experienced commercial medical insurance collection associates. The ideal candidate will have 1+ years' of experience working medical claims, denials, re-billing and seeking full payment from goverment and commercial providers.
1. Initiates contact with guarantors/third party payors to collect on outstanding receivables
2. Reviews, monitors and maintains accounts receivable at an acceptable level
3. Review and work denial referrals; for early identification of root cause of denial; preliminary determination whether denial can be overturned; resolve denials in timely manner.
4. Ensures that all Third Party Payor claim filing deadline appeals are submitted timely and efforts to resolve claim denials for timely filing are exhausted prior to submitting as a write off or patient responsibility (This will vary by project.)
5. Monitor accounts for updates on claim status, and review of payment
6. Request and initiate the billing or re-bill of claims
- Commercial Collections
- Reimbursement Specialist
- Medical Terminology
- Medical Claims
- Years of experience: 1 year
- Experience level:Experienced
Working hours: 7:30 AM - 4:30 PM
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San Francisco Fair Chance Ordinance:
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.