CCMC Collector - Medical Group

Responsibilities

As the CCMC Collector for our medical group, you will be responsible for:

* Accurately processing inpatient and outpatient claims to government and commercial payers, following all mandated billing guidelines

* Provide quality control checks of denied claims, the ability to process tracers, process contractual adjustments and allocation of funds; initiate appeals

* Draft, compose, and submit appeal letters specific to coding issues consistent with the most updated American Medical Association Current Procedural Terminology

* Perform all required duties within the patient accounting systems

* Overturn denials and secure payment of denied claims.

Note: This posted position is 1 of 5 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.
Qualifications

We're seeking a detail-oriented, self-directed professional with:

* Two years recent professional medical collection experience, preferably in Cardiology, Oncology, or Dermatology

* Skill in drafting appeals, identifying denial reason and ability to secure payment of denied claims

* Knowledge of commercial contracts, with the ability to understand contract language in order to appeal denied claims and/or secure underpayments

* Knowledge of how to use modifiers to secure payment, i.e. 25, 33, 59 and 51

* Working experience with Medi-Cal, Medicare, HMO, and PPO insurance

* Experience using on line payer sites with the ability to check claim status, denials, and eligibility

* Knowledge of MS Word and MS Excel software

* Knowledge of CPT, ICD-10, and HCPC codes

* Must be an effective multi-tasker in order to meet daily production and quality standards

UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

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