Description
A hospital in Los Angeles is seeking a Medicare Managed Care Medical Collections Specialist to support its revenue cycle team. The Medicare Managed Care Medical Collections Specialist is responsible for follow-up on unpaid claims, insurance appeals, denial resolution, and insurance accounts receivable activities to help maximize reimbursement and reduce aging balances.


Key Responsibilities:

+ Call insurance companies, payers, and/or patients to secure payment on unpaid claims.

+ Perform timely follow-up on outstanding insurance accounts receivable to ensure appropriate reimbursement.

+ Manage and prioritize daily workload to maximize collection efforts and minimize delays in payment resolution.

+ Submit and track insurance appeals related to denied or underpaid claims. Based on general knowledge.

+ Review denials, determine root cause, and take corrective action to support claim resolution.

+ Gath...