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Kforce Medical Collections in Irvine, California

Kforce client in Irvine, California is seeking a Medical Collector. The position will be onsite in Irvine, CA. Hours: 8am- 5pm Monday - Friday.Position Responsibilities of the Medical Collector: * Medical Collector collects money due from insurance companies, hospital and patients in compliance with CLIA, OIG and all other applicable legal requirements * Contacts insurance companies to follow up on claims and appeals which have been submitted, but no payment or correspondence received within the allotted time frame * Processes and follows up with patients for copays and deductible amounts due * Contacts clients to obtain medical records as needed for submission of a medical appeal or payer's review of a claim * Medical Collector prepares custom appeal letters and letters of interest to various insurance carriers and managed care groups * Reviews files to determine if amounts should be written off based on acceptable reimbursement, then forwards these to the Reimbursement Manager * Medical Collector investigates and prepares any necessary refund requests from payors for submission to the Reimbursement Manager * Negotiates reimbursement single settlements with various insurance carriers and third party administrators, based upon department guidelines * Medical Collector interfaces with insurance company representatives, doctor's offices and hospitals regarding schedule of services and billing inquiries * Medical Collector assists department director in the development of new procedures and systems to enhance productivity * Provides account information to the sales force as needed * High School diploma or GED/equivalent * 3 years related experience * Advanced technical knowledge of Microsoft products required (Excel, Word, Outlook) * Must be able to work in a fast-paced environment * Must have strong organizational skills and attention to detail * High degree of accuracy * Manage multiple tasks independently * Other skills necessary are accounting, data entry, general math, analytical, thoroughness, research, verbal/written communication * Excellent problem resolution * Excellent customer service skills * Outside-the-box thinker Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:HoursMinimum Compensation:24.00Maximum Compensation:24.00

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