Job Information
UCLA Health Ophthalmology Insurance Collector in Los Angeles, California
Description
Perform a key role within a world-class health system. Provide vital expertise to ensure the highest standards of medical excellence. Take your professional expertise to the next level. You can do all this and more at UCLA Health.
As the Ophthalmology Collector, 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
Salary Range: $27.66 - $36.47 HourlyQualifications
We're seeking a detail-oriented, self-directed professional with:
Two years recent professional medical collection experience, preferably in Ophthalmology
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 Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, UCan at UCLA Health.
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.