Collector Contract Analyst -
Location: San Bernardino
Posted on: September 27, 2024
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Job Description:
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.
Keywords: , San Bernardino , Collector Contract Analyst -, Healthcare , San Bernardino, California
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