Medical Biller/Collector

Aya Healthcare has an exciting 13-week contract opportunity located in Whittier, CA!

Job Details:

JOB TITLE: Medical Biller/Collector

CONTRACT DURATION: 13 weeks

SHIFT: M-F 8am-5pm ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTED

LOCATION: Whittier, CA

ONBOARDING TIME: Expect 2-3 weeks from offer acceptance to start date.

DETAILS ABOUT THE POSITION

Works under the supervision of the Billing and Collection Supervisor. Analyzes and interprets Managed Care contract language, terms, conditions, and responsibility matrices. Performs telephone and written follow-up with patients, insurance companies, third party payers, worker’s compensation payers, medical groups, outside hospitals and physician’s offices to ensure timely payments. Has a strong understanding of CMS regulations, Managed Care and insurance company payment principles, rules, and regulations. Is knowledgeable with the use of appropriate HCPCS, CPT 4 codes, Modifiers, ICD9 and ICD10 codes. Understands the billing and payment follow up time limits set forth by Medicare, payer contracts and has the knowledge of insurance billing rules and regulations. Has the ability to utilize multiple hospital systems.

EDUCATION/EXPERIENCE/TRAINING

• High school graduate
• Previous experience working in an acute hospital patient account setting
• Minimum of 2 years’ experience in hospital collections
• Customer service experience.

DUTIES AND RESPONSIBILITIES
1. Safeguards and preserves the confidentiality of patient’s protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital, and departmental policies.
2. Ensures a safe patient environment and adherence to safety practices per policy.
3. With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care.
4. Audits and analyzes accounts to determine proper insurance reimbursements and contractual allowances.
5. Maintains portfolio of all accounts with the ability to meet the daily productivity standard.
6. Follows-up with payers documenting the patient accounts systems with concise information for account resolution.
7. Pursues underpayments and complete appeals, when necessary, in a timely manner providing accurate information to payer.
8. Reviews and analyzes denied claims to determine appropriate action, accurately requesting the correct contractual adjustment according to our Commercial and Managed Care contracts.
9. Responds timely to insurance correspondence.
10. Reviews insurance refunds processing the appropriate adjustments to assure account balance is accurate when the refund is processed.
11. Skilled in the usage of various computer systems (Meditech, TRAC) and other available tools (APC and APR/MS DRG). Allscripts/SFM, NThrive/Claims Management a plus.
12. Keeps current AB774 regulations regarding billing/collections.
13. Performs other duties as assigned.

APPLICATION REQUIREMENTS

· Documentation of Covid vaccination or medical/religious exemption.

· Copy of diploma for highest level of completed education.

· Two manager/supervisor references who you have worked with in the last two years.

o (Name, Position Held, Company, Phone Number, Email Address)

· Upcoming requested time off for the duration of the contract.

· Interview availability for the next 7-10 days.

· Resume with last seven years of work history if applicable - all work history gaps of 90 days must be explained.

AYA DELIVERS...

· Front-of-the-line access to exclusive jobs at thousands of healthcare facilities nationwide.

· A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.

· A credentialing specialist to streamline the entire compliance process.

o Premium medical, dental, vision and life insurance beginning day one of your assignment.

Aya Healthcare is an Equal Opportunity Employer and encourages all to apply!

Job Type: Contract

Pay: $24.00 - $27.25 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Do you have 2 years’ experience in hospital collections?

Ability to Commute:

• Whittier, CA (Required)

Work Location: In person

Salary : $24 - $27