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The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. Must demonstrate a positive demeanor, good verbal and written skills, and must be professional in both appearance and approach. Will maintain consistent productivity standards as appropriate for their unit as well as maintain an average of 90% (score 9.0) or better on Quality Reviews. The Professional Billing Refund Collector is responsible for accurately reviewing credit balances and processing adjustments, transfers and refunds as needed. Helps in billing operations by providing support and research of misapplied payments. Works as a member of the billing team to provide smooth operational flow resulting in optimum customer (internal/external) satisfaction and effective/efficient processes. TYPE OF SUPERVISION RECEIVED: Direct supervision required. Daily, weekly and/or monthly Unit meetings may be required. Direct review of daily production and other production-based reports to validate staff usage needs, portfolio reduction efforts, customer services and staff morale.
Essential Duties:
Required Qualifications:
Preferred Qualifications:
Required Licenses/Certifications:
Full Time
Colleges & Universities
$40k-51k (estimate)
01/05/2024
07/20/2024
usc.edu
LOS ANGELES, CA
15,000 - 50,000
1880
PATRICIA CORONA
$500M - $1B
Colleges & Universities
The University of Southern California is a leading private research university located in Los Angeles, the capital of the Pacific Rim. This is the official LinkedIn presence for the University of Southern California. This account is managed and mediated by the staff of USC University Communications. Content (including posts from 3rd parties) that include videos, photographs, opinions and links to content outside of this channel do not necessarily represent the University of Southern Californias academic goals or opinions. Community guidelines: Alumni and students are welcome to post profession ...
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