Collector Contract Analyst - - Loma Linda California

Location: Loma Linda, California
Posted On: 05/06/2024

This Collector Contract Analyst Position Features:



? Salary to $35K



Immediate need for Collector Contract Analyst



Position Requires:



Works under the supervision of the Commercial Contracts Managed Care (CCMC) Supervisor. The Collection Specialist analyzes and interprets Managed Care contract language, terms, conditions and responsibility matrices. Performs telephone and written follow-up with insurance companies, third party payers, worker?s compensation payers, medical groups, outside hospitals, and physician?s offices to ensure timely payments of inpatient and outpatient hospital bills in accordance with the terms and conditions of each contract and/or insurance company policies. Ensures that payers adhere to compliance laws regarding timely processing of claims. Has a strong understanding of Managed Care and insurance company payment principles, rules, and regulations to perform reimbursement from both the third party and patient perspectives. When working with individual payers on an account-by-account basis, determines if payer needs additional information, identifies barriers, or secures payment dates. Responsible for following through with requested information as needed in order to remove payment barriers. If unable to remove barriers, elevates the account to either Management or Payer Management. Develops collection recovery strategies with each payer. Must aggressively pursue each outstanding account to reach maximum reimbursement and closure. Performs other duties as needed. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status. More...

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