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A Healthcare Company in Los Angeles is in the need of hybrid Medical Insurance Collector to assist with an AR insurance back log. The Medical Insurance Collector position focuses on resolving aging accounts, researching reimbursement issues, and working directly with payers to improve collections performance. The Medical Insurance Collector strong knowledge of medical billing, denials, appeals, and insurance follow-up, along with the ability to manage a high daily volume of account activity. This position is a hybrid schedule with two days onsite and three days remote.
Job Responsibility:
Pursue outstanding accounts in the 120- to 210-day aging range and take timely action to secure payment or resolution
Review high-volume account inventories and prioritize follow-up activities to address aged balances efficiently
Contact insurance carriers and managed care organizations to investigate claim status, payment delays, denials, and underpayments
Handle collections activity involving payer groups such as LA Care, Kaiser, and other managed care plans while documenting each account thoroughly
Prepare and submit appeal or reconsideration requests when claims require additional support for reimbursement
Identify accounts appropriate for recovery efforts or write-off review and route them according to established guidelines
Maintain a consistent daily productivity level by completing a large number of account follow-up actions and updates
Requirements:
Experience in medical collections within a healthcare billing or revenue cycle environment
Working knowledge of medical billing processes, insurance follow-up, and accounts receivable management
Ability to research and resolve claim denials, payment variances, and reimbursement discrepancies
Familiarity with medical appeals procedures and payer communication best practices
Understanding of managed care and commercial or government insurance plan requirements
Strong organizational skills with the ability to manage a high daily volume of account activity
Clear written and verbal communication skills for interacting with payers and documenting account actions