Medical Collector 23-00105
Company: Alura Workforce Solutions
Location: Fountain Valley
Posted on: January 25, 2023
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Job Description:
Position
Commercial Patient Account Rep
Denial Rep - Commercial Claims -
Description
Commercial Patient Account Representative, Senior is responsible
for follow up on denied commercial insurance claims to ensure that
PFS is capturing all revenues as timely and efficiently as
possible.
This position takes ownership of their accounts and eliminates
barriers to ensure timely and correct payment including involvement
with payors upper management, when necessary. This position will
have working knowledge and understanding of Commercial managed care
contracts including other complex payment methodologies to ensure
prompt and accurate reimbursement. This position must be able to
utilize and understand many complex and varying State and Federal
statutes and regulations, guidelines and systems, and perform the
account follow-up function with all Commercial payors and
government agencies to obtain maximum and correct reimbursement of
accounts receivables. This position proactively works with all
payors and internal resources to identify and resolve issues that
hinder account payment. Applies independent judgment, research and
knowledge to audit Commercial payor payments, denials, appeals and
billing issues.
Requirements
Additional Information
Full-Time
INDH
ZIPH
Keywords: Alura Workforce Solutions, Fountain Valley , Medical Collector 23-00105, Healthcare , Fountain Valley, California
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